DR. TONICE KRUEGER (LP) – Clinical Psychologist, NPI 1184949398

DR. TONICE KRUEGER (LP) is a healthcare provider. based in Niceville, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials LP. They hold a License No. 0810006082 (VA). The NPI Number for DR. TONICE KRUEGER (LP) is 1184949398

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. TONICE KRUEGER (LP)
NPI
1184949398
Phone
(850) 842-2424
Address
4566 E HIGHWAY 20 STE 104
Enumeration Date
30 March 2010
Last Update Date
20 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508422424
Graduation Year
2017 (9 years ago)
PAC ID
7214350156
Group Practice PAC ID
6406279348
Professional Enrollment ID
I20200709003680
Address ID
FL325788839NI4566X20XX405
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

Provider Addresses for DR. TONICE KRUEGER (LP)

  • 4566 E HIGHWAY 20 STE 104

    NICEVILLE, FL 325788839

    Phone: (850) 842-2424

    Fax: (850) 897-0032

    Type: Mailing

  • 7907 Ostrow St

    Suite F, Bldg. 1

    San Diego, CA 921113635

    Phone: (858) 300-8282

    Type: Location

  • 4467 New Market Rd

    Niceville, FL 325784915

    Phone: (619) 865-9399

    Type: Location

  • 4400 E Highway 20 Ste 306

    Niceville, FL 325787703

    Phone: (850) 842-2424

    Fax: (850) 897-0032

    Type: Location

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: 2020-07-09

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
I20200709003680IClinical PsychologistFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32578)

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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: 6406279348View full group profile
NameSpecialtyState
Mental Health CounselorFL
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

What is DR. TONICE KRUEGER (LP)'s NPI number?
DR. TONICE KRUEGER (LP)'s NPI is 1184949398 — the number used across U.S. healthcare to identify this provider.
Is DR. TONICE KRUEGER (LP) shown as active in public data?
Registry records indicate DR. TONICE KRUEGER (LP) maintains an active NPI.
What expertise is attributed to DR. TONICE KRUEGER (LP)?
DR. TONICE KRUEGER (LP)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. TONICE KRUEGER (LP) associated with Niceville?
Public fields place DR. TONICE KRUEGER (LP) around Niceville, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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