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JUSTIN EDWARD SPERLBAUM APRN
NPI 1669211652
Nurse Practitioner in Pensacola, FL

Active since May 21, 2024PECOS EnrolledAccepts Medicare Assignment
1619 CREIGHTON RD STE 2, PENSACOLA, FL 32504(850) 444-4700 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Edward Sperlbaum Aprn NPPES

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

JUSTIN EDWARD SPERLBAUM APRN (NPI 1669211652) is an individual nurse practitioner in Pensacola, Florida, licensed in Florida (11032778) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669211652
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJUSTIN EDWARD SPERLBAUMCredential: APRN
Location Address1619 CREIGHTON RD STE 2Pensacola, FL 32504-7152
Mailing Address1619 Creighton Rd Ste 2Pensacola, FL 32504-7152 · (360) 471-4556
Phone(850) 444-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1669211652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11032778
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1619 CREIGHTON RD STE 2, Pensacola, FL 32504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, UnitedHealthcare.Insurance ›

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

Justin Edward Sperlbaum Aprn 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 ID5799228672
PECOS Enrollment IDI20240620000395
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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

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

FRESENIUS VASCULAR CARE PENSACOLA LLC
Radiology (Vascular & Interventional Radiology)
1619 CREIGHTON RD STE 2
PENSACOLA, FL 32504
Escambia County (850) 466-3843

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 Justin Sperlbaum's NPI number?

The NPI number for Justin Sperlbaum is 1669211652. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Justin Sperlbaum located?

Justin Sperlbaum practices at 1619 Creighton Rd Ste 2, Pensacola, FL 32504. The listed phone number is (850) 444-4700.

What is Justin Sperlbaum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Justin Sperlbaum enrolled in Medicare?

Yes. Justin Sperlbaum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Justin Sperlbaum accept?

Health plans from Ambetter Health, Ambetter of Alabama and UnitedHealthcare list Justin Sperlbaum 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.

Is Justin Sperlbaum affiliated with any hospitals?

According to CMS data, Justin Sperlbaum is affiliated with Sacred Heart Hospital.

When was this NPI record last updated?

The NPPES record for Justin Sperlbaum was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.