BRIANA RAE TOOTHAKER FNP
NPI 1598515355
Nurse Practitioner - Family in Fort Walton Beach, FL

Q: What is Briana Toothaker's NPI number?

The NPI number for Briana Toothaker is 1598515355. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Briana Toothaker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Briana Toothaker was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 25, 2024PECOS Enrolled

350G RACETRACK RD NW, FORT WALTON BEACH, FL 32547(850) 374-3125(850) 226-5544 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Briana Rae Toothaker Fnp NPPES

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

BRIANA RAE TOOTHAKER FNP (NPI 1598515355) is an individual family provider in Fort Walton Beach, Florida, licensed in Florida (APRN11042188) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1598515355

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBRIANA RAE TOOTHAKERCredential: FNP

Location Address350G RACETRACK RD NWFort Walton Beach, FL 32547-1699

Mailing Address350g Racetrack Rd NwFort Walton Beach, FL 32547-1699 · (850) 374-3125 · Fax (850) 226-5544

Phone(850) 374-3125

Fax(850) 226-5544

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 25, 2024

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1598515355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in FL · APRN11042188✔ Licensed in MO · 2024004878

350G RACETRACK RD NW, Fort Walton Beach, FL 32547

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Briana Rae Toothaker Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355789983

PECOS Enrollment IDI20260710003771

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.

Medicare Billing Reassignment

Medicare enrollment records show Briana Toothaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Samuel D. Critides, Jr., M.D., P.A.

Same address

Neurological Surgery

350G RACETRACK RD NW
Fort Walton Beach, FL 32547

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Samuel D Critides Jr MD PA
5 clinicians in this Medicare group

NPI 1932887676 (850) 374-3125

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.

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 8

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

AMBERLYN DAGLIAN MCNAMARA APRN

Nurse Practitioner (Adult Health)