Active NPI 1902459662 Individual Practitioner Female Practitioner

Mindy Gray Sutton , APRN

Nurse Practitioner - Family • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Mindy Sutton, APRN is a registered healthcare professional specializing in Nurse Practitioner - Family in Crestview, FL. Practice services are available at 210 S MAIN ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of psychological or neuropsychological test by technician, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 S Main St

Crestview, FL 325363737

Telephone 8502266801

Fax 8774135104

Associated Practice Facility / Clinic

🏢 Dynamic Pain & Wellness Llc Facility NPI 1821531013

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Crestview, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.9 Yrs

State Avg: 8.1 Yrs

Regional Practice Density

45 Specialists

Practicing in Crestview, FL (22518 Statewide)

Telehealth Adoption Rate

2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

85.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	13	$327.12	$47.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	17	$327.12	$47.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	37	$327.00	$92.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$327.00	$77.09
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes	25	25	$112.00	$31.19

Medical Specialties & State Licenses

CMS Verified: 2021-04-16

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License FL APRN11002601

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

105993400 (FL)

Medicaid State Provider ID

261330 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners

Danita Lafontant , FNP-C

Nurse Practitioner - Family

NPI 1013491794

Family Nurse Practitioner (Certified)

Sylvia Wages , APRN

Nurse Practitioner - Family

NPI 1013608330

Advanced Practice Registered Nurse

Lexie Moreau

Nurse Practitioner - Family

NPI 1013771153

Dr. Robert Sutherland , MD

Anesthesiology - Pain Medicine

NPI 1033112933

Doctor of Medicine (M.D.)

Brittany Wickware , CRNP

Nurse Practitioner - Adult Health

NPI 1053802926

Certified Registered Nurse Practitioner

Shelby Brinson , PA

Physician Assistant

NPI 1063535151

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location April 16, 2021

Registered at 210 S MAIN ST, CRESTVIEW, FL 325363737 (Tel: 8502266801)

📍

Updated Business Mailing Address April 16, 2021

Registered at 210 S MAIN ST, CRESTVIEW, FL 325363737 (Tel: 8503063433)

👤

Provider Name / Credentials Updated April 16, 2021

Recorded as MINDY SUTTON, APRN

✅

NPI Profile Active July 22, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2019

Registered at 21 W MAIN AVE, DEFUNIAK SPRINGS, FL 324352529 (Tel: 8508922888)

📍

Updated Business Mailing Address July 22, 2019

Registered at 21 W MAIN AVE, DEFUNIAK SPRINGS, FL 324352529 (Tel: 8508922888)

👤

Provider Name / Credentials Updated July 22, 2019

Recorded as MINDY GRAY, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2019

Nurse Practitioner (License #APRN11002601 in FL)

🟢

Initial NPI Registration & Enumeration July 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902459662

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 22, 2019

Last Update: April 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

210 S Main St

Crestview, FL 325363737

Phone: 8503063433

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.