SONYA GILMORE
NPI 1992338636
Nurse Practitioner - Family in Fort Walton Beach, FL

Active since February 21, 2020PECOS EnrolledAccepts Medicare Assignment
203 CLOVERDALE BLVD, FORT WALTON BEACH, FL 32547(850) 862-7604 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2026, Sep 6, 2024, Jan 7, 2021 and 2 more (5 updates tracked since 2020).

About Sonya Gilmore NPPES

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

SONYA GILMORE (NPI 1992338636) is an individual family provider in Fort Walton Beach, Florida, licensed in Florida (11006792) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992338636
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONYA GILMORE
Location Address203 CLOVERDALE BLVDFort Walton Beach, FL 32547-1405
Mailing Address2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 21, 2020
Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
NPI 1992338636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in FL · 11006792 Licensed in WA · AP61563104
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 3150532 (FL)
203 CLOVERDALE BLVD, Fort Walton Beach, FL 32547

Secondary Practice Locations 3

Location 117707 W Main St Fl 1Monroe, WA 98272-1967 · Phone (360) 282-3885 · Fax (360) 512-2026
Location 210217 125th Street Ct E Fl 2Puyallup, WA 98374-2761 · Phone (253) 864-4550 · Fax (253) 864-4558
Location 3812 Mars StDestin, FL 32541-1823 · Phone (850) 650-6366

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Sonya Gilmore 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 ID8628482064
PECOS Enrollment IDI20210127000682, I20241004001022
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
228 services147 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
26 services26 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
19 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
13 services12 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims36 services$5.49 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$16.02 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$40.33 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$83.83 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers37 claims37 services$203.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Internal Medicine
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Counselor (Mental Health)
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Counselor (Mental Health)
203 CLOVERDALE BLVD
FORT WALTON BEACH, FL 32547
Social Worker (Clinical)
203 CLOVERDALE BLVD
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 Sonya Gilmore's NPI number?

The NPI number for Sonya Gilmore is 1992338636. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Sonya Gilmore located?

Sonya Gilmore practices at 203 Cloverdale Blvd, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-7604.

What is Sonya Gilmore's specialty?

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

Is Sonya Gilmore enrolled in Medicare?

Yes. Sonya Gilmore 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 Sonya Gilmore accept?

Health plans from Providence Health Plan list Sonya Gilmore 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 Sonya Gilmore was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.