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PENSACOLA NEPHROLOGY, PA
NPI 1518969765
Internal Medicine - Nephrology in Pensacola, FL

Active since June 01, 2005
1619 CREIGHTON RD STE 1, PENSACOLA, FL 32504(850) 444-4700(850) 434-8144 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 19, 2025, Jul 21, 2022, Jun 11, 2021 and 3 more (6 updates tracked since 2017).

About Pensacola Nephrology, Pa NPPES

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

PENSACOLA NEPHROLOGY, PA (NPI 1518969765), doing business as Renalus Center For Kidney Care, is a healthcare organization registered as a nephrology in Pensacola, Florida and active in the NPI registry since June 2005. The organization maintains 14 additional practice locations and lists Justin Dansby, Cfo, as its authorized official.

NPPES Registry Identity

NPI1518969765
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePENSACOLA NEPHROLOGY, PA
Location Address1619 CREIGHTON RD STE 1Pensacola, FL 32504-7152
Mailing AddressPo Box 11037Pensacola, FL 32524-1037 · (850) 444-4700 · Fax (850) 444-7497
Phone(850) 444-4700
Fax(850) 434-8144
Organization SubpartNo
Authorized OfficialJustin DansbyCfo · (850) 444-4700
Enumeration DateJune 1, 2005
Last NPPES UpdateFebruary 19, 20256 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1518969765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1619 CREIGHTON RD STE 1, Pensacola, FL 32504
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Other Names 1

Doing Business AsRenalus Center For Kidney Care

Secondary Practice Locations 14

Location 1221 E Redstone AveCrestview, FL 32539-5373 · Phone (850) 398-6606 · Fax (850) 398-6424
Location 22940 N Blue Angel PkwyPensacola, FL 32506-2925 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 31118 Gulf Breeze Pkwy Ste 200Gulf Breeze, FL 32561-7806 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 4598 N Fairfield Dr Ste 100Pensacola, FL 32506-4320 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 52583 Gulf Breeze PkwyGulf Breeze, FL 32563-3043 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 6319 Green Acres Rd Ste 103Fort Walton Beach, FL 32547-1170 · Phone (850) 862-2385 · Fax (850) 862-0482
Location 714114 Alabama StJay, FL 32565-1219 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 85934 Berryhill Medical Park Dr Ste 1Milton, FL 32570 · Phone (850) 623-4771 · Fax (850) 623-3938
Location 96001 Industrial BlvdCentury, FL 32535-3312 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 104304 Lancaster DrNiceville, FL 32578-4563 · Phone (850) 862-2385 · Fax (850) 862-0482
Location 115819 Highway 90Milton, FL 32583-1763 · Phone (850) 444-4700 · Fax (850) 444-7497
Location 128333 N Davis HwyPensacola, FL 32514-6050 · Phone (850) 444-4700 · Fax (850) 444-7497
Location 13700 E Cervantes StPensacola, FL 32501-3487 · Phone (850) 444-4700 · Fax (850) 434-8144
Location 145149 N 9th Ave Ste G35Pensacola, FL 32504-8733 · Phone (850) 444-4700 · Fax (850) 434-8144

Other Identifiers 7

Medicaid256870512FL
OtherCF9777AL · Rrb Ptan
Medicaid256870510FL
Medicaid256870509FL
Medicaid256870500FL
Medicaid256870513FL
OtherCF9776FL · Rrb Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pensacola Nephrology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Pensacola Nephrology, PA, which bills Medicare for the services they deliver. Of these, 27 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner21
Nephrology15

Nearest to this location (20)

See all 36
Douglas Bunting, MD
Nephrology
NPI 1407840440
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Tawana Cooper, ARNP
Nurse Practitioner
NPI 1487656641
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Amy Dugger, ARNP
Nurse Practitioner
NPI 1508174236
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Allison Edwards, ARNP
Nurse Practitioner
NPI 1659817153
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Edward Friedland, M.D.
Nephrology
NPI 1649273327
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Humam Humeda, MD
Nephrology
NPI 1376545566
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Derek Jimenez, M.D.
Nephrology
NPI 1194846923
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Jolee Josephs, APRN
Nurse Practitioner
NPI 1225613755
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Richard Macneil, DO
Nephrology
NPI 1376064568
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
David Mason, ARNP
Nurse Practitioner
NPI 1790261550
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Nicholas Nagrani, M.D.
Nephrology
NPI 1730177429
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Heather Presson, ARNP-CNP
Nurse Practitioner
NPI 1427545664
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Haitham Qader, MD
Nephrology
NPI 1841265253
1619 CREIGHTON RD SUITE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Christopher Reid, MD
Nephrology
NPI 1174525364
1619 CREIGHTON RD SUITE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Erin Schlechter, APRN
Nurse Practitioner
NPI 1477142123
1619 CREIGHTON RD
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Jonathan Simmons, ARNP
Nurse Practitioner
NPI 1669815999
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Justin Sperlbaum, APRN
Nurse Practitioner
NPI 1669211652
1619 CREIGHTON RD STE 2
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Julie Stronski, APRN
Nurse Practitioner
NPI 1003430836
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(504) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Mark Vannorsdall, M.D.
Nephrology
NPI 1336141555
1619 CREIGHTON RD STE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
Ronnie Wiles, MD
Nephrology
NPI 1285636472
1619 CREIGHTON RD SUITE 1
Pensacola, FL 32504
(850) 444-4700
✔ PECOS✔ Accepts MedicareSame address
See all 36 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pensacola Nephrology, PA's NPI number?

The NPI number for Pensacola Nephrology, PA is 1518969765. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider is doing business as Renalus Center for Kidney Care.

Where is Pensacola Nephrology, PA located?

Pensacola Nephrology, PA is located at 1619 Creighton Rd Ste 1, Pensacola, FL 32504. The listed phone number is (850) 444-4700.

What is Pensacola Nephrology, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Pensacola Nephrology, PA enrolled in Medicare?

Yes. Pensacola Nephrology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pensacola Nephrology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 2 Medicare specialties reassign their Medicare billing to Pensacola Nephrology, PA. A 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 the clinician's services. The largest specialties are Nurse Practitioner (21) and Nephrology (15). Of these, 27 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pensacola Nephrology, PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Pensacola Nephrology, PA 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 Pensacola Nephrology, PA was last updated on February 19, 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.