MRS. JENNIFER LEE PRUITT APRN
NPI 1508679630
Nurse Practitioner - Psychiatric/Mental Health in Fort Walton Beach, FL
About Mrs. Jennifer Lee Pruitt Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER LEE PRUITT APRN (NPI 1508679630) is an individual psychiatric/mental health provider in Fort Walton Beach, Florida, licensed in Florida (APRN11037419) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jennifer Lee Pruitt Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Pruitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Panama City, FL 32405
- Reassigned Medicare billing, Florida enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32547 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jennifer Pruitt's NPI number?
The NPI number for Jennifer Pruitt is 1508679630. It was assigned to this individual provider in the NPPES registry on January 31, 2025. The provider is also known as Jennifer Lee Armstrong.
Where is Jennifer Pruitt located?
Jennifer Pruitt practices at 2004 Lewis Turner Blvd Ste B, Fort Walton Beach, FL 32547. The listed phone number is (850) 226-7893.
What is Jennifer Pruitt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jennifer Pruitt enrolled in Medicare?
Yes. Jennifer Pruitt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Pruitt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Pruitt reassigns Medicare benefits to Emerald Coast Behavioral Hospital, LLC (Panama City, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Pruitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Pruitt accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Jennifer Pruitt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jennifer Pruitt was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Jennifer Lee Pruitt, APRN · NPI 1508679630
Psychiatric/Mental Health physician in Fort Walton Beach, Florida. Individual provider, active in the CMS NPPES registry since January 31, 2025.
## Identity
- **NPI:** 1508679630 (Entity type: Individual)
- **Enumerated:** January 31, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** APRN11037419 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 2004 LEWIS TURNER BLVD STE B, Fort Walton Beach, FL 32547-1362
- **Phone:** (850) 226-7893
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emerald Coast Behavioral Hospital, LLC (NPI 1578795332, Panama City, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508679630) · Data from the CMS NPPES public registry.