KRISTY LEIGH MARACLE (AGACNP-C) – Gerontology Nurse Practitioner, NPI 1184309379

KRISTY LEIGH MARACLE (AGACNP-C) is a healthcare provider. based in Pensacola, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-C. They hold a License No. 11023263 (FL). The NPI Number for KRISTY LEIGH MARACLE (AGACNP-C) is 1184309379

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY LEIGH MARACLE (AGACNP-C)
NPI
1184309379
Phone
(448) 227-8478
Address
123 Baptist Way
Enumeration Date
16 June 2023
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508052000
Graduation Year
2022 (4 years ago)
PAC ID
0446608392
Group Practice PAC ID
8224425780
Professional Enrollment ID
I20231202000762
Address ID
FL325045937PE1101XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for KRISTY LEIGH MARACLE (AGACNP-C)

  • 123 Baptist Way

    Pensacola, FL 325032254

    Phone: (448) 227-8478

    Fax: (512) 628-3314

    Type: Location

  • 7820 CHESTERFIELD RD

    PENSACOLA, FL 325065512

    Phone: (850) 281-6135

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231202000762INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7427$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 32503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224425780View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticeFL

Reviews

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Frequently asked questions

What is the registry number for KRISTY LEIGH MARACLE (AGACNP-C)?
The registry entry for KRISTY LEIGH MARACLE (AGACNP-C) shows NPI 1184309379.
Is KRISTY LEIGH MARACLE (AGACNP-C)'s NPI status active today?
Active status means KRISTY LEIGH MARACLE (AGACNP-C)'s NPI record is not deactivated in the public file.
Which specialty label fits KRISTY LEIGH MARACLE (AGACNP-C)?
NPPES ties KRISTY LEIGH MARACLE (AGACNP-C) to Gerontology Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KRISTY LEIGH MARACLE (AGACNP-C) tied to Pensacola, Florida?
If you are local to Pensacola, Florida, KRISTY LEIGH MARACLE (AGACNP-C) may be relevant to your search.
Why is information missing for KRISTY LEIGH MARACLE (AGACNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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