JERRI DIANE NALL AGNP-C
NPI 1336891191
Nurse Practitioner - Adult Health in Pensacola, FL

Active since January 24, 2022PECOS EnrolledAccepts Medicare Assignment
125 BAPTIST WAY STE 4C, PENSACOLA, FL 32503(448) 227-6330(850) 626-9960 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 28, 2026, Nov 6, 2024, Jan 24, 2022 (3 updates tracked since 2022).

About Jerri Diane Nall Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRI DIANE NALL AGNP-C (NPI 1336891191) is an individual adult health provider in Pensacola, Florida, licensed in Florida (11036285) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336891191
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJERRI DIANE NALLCredential: AGNP-C
Location Address125 BAPTIST WAY STE 4CPensacola, FL 32503-2274
Mailing AddressPo Box 95590South Jordan, UT 84095-0590 · (801) 784-0954 · Fax (801) 352-7976
Fax(850) 626-9960
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 24, 2022
Last NPPES UpdateApril 28, 20263 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1336891191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in FL · 11036285
125 BAPTIST WAY STE 4C, Pensacola, FL 32503

Secondary Practice Locations 2

Location 19400 University Pkwy Ste 401BPensacola, FL 32514-5485 · Phone (448) 227-4160 · Fax (448) 227-4160
Location 21118 Gulf Breeze Pkwy Ste 101Gulf Breeze, FL 32561-7801 · Phone (850) 626-9626 · Fax (850) 626-9606

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jerri Diane Nall Agnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557831112
PECOS Enrollment IDI20260526001378
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
125 BAPTIST WAY STE 4C
PENSACOLA, FL 32503
Physician Assistant
125 BAPTIST WAY STE 4C
PENSACOLA, FL 32503
Nurse Practitioner
125 BAPTIST WAY STE 4C
PENSACOLA, FL 32503
Nurse Practitioner
125 BAPTIST WAY STE 4C
PENSACOLA, FL 32503
Internal Medicine (Gastroenterology)
125 BAPTIST WAY STE 4C
PENSACOLA, FL 32503
Neurological Surgery
125 BAPTIST WAY STE 4C
PENSACOLA, FL 32503
Physician Assistant
125 BAPTIST WAY STE 4C
PENSACOLA, FL 32503
Nurse Practitioner (Family)
125 BAPTIST WAY STE 4C
PENSACOLA, FL 32503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336891191, enumerated as an "individual" on January 24, 2022.

The provider is located at 125 BAPTIST WAY STE 4C PENSACOLA, FL 32503 and the phone number is (448) 227-6330.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.