WHITLEY MIKAYLA BRYANT (FNP) – Family Nurse Practitioner, NPI 1417737305

WHITLEY MIKAYLA BRYANT (FNP) is a healthcare provider. based in Youngstown, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 11028911 (FL). The NPI Number for WHITLEY MIKAYLA BRYANT (FNP) is 1417737305

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
WHITLEY MIKAYLA BRYANT (FNP)
NPI
1417737305
Phone
(850) 814-5026
Address
6029 WEDGEWOOD LN
Enumeration Date
29 September 2023
Last Update Date
29 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8502153612
Graduation Year
2023 (3 years ago)
PAC ID
0042669103
Group Practice PAC ID
2365722006
Professional Enrollment ID
I20231214001388
Address ID
FL324054704PA645XX231X400
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

24,232 NURSE PRACTITIONER in FL

Provider Addresses for WHITLEY MIKAYLA BRYANT (FNP)

  • 6029 WEDGEWOOD LN

    YOUNGSTOWN, FL 324662776

    Phone: (850) 814-5026

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $500.

Total Amount is formed as General ($500) + Research ($0) + Ownership ($0) = $500.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($327).

Total Amount

$500

General + Research + Ownership

Payments

17

Total payment records

General Amount

$500

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-14

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
I20231214001388INurse 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.

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

Insurance plans in this area (ZIP 32466)

Loading plans...

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: 2365722006View full group profile
NameSpecialtyState
Nurse PractitionerFL
-IN
D E R M A T O L O G YFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is WHITLEY MIKAYLA BRYANT (FNP) listed with a National Provider Identifier?
Yes — WHITLEY MIKAYLA BRYANT (FNP) has NPI 1417737305 on file in the registry.
Active or inactive — what applies to WHITLEY MIKAYLA BRYANT (FNP)?
You should see WHITLEY MIKAYLA BRYANT (FNP) as active in CMS-hosted NPPES data.
What expertise is attributed to WHITLEY MIKAYLA BRYANT (FNP)?
WHITLEY MIKAYLA BRYANT (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is WHITLEY MIKAYLA BRYANT (FNP) registered?
Use Youngstown, Florida as the headline location for WHITLEY MIKAYLA BRYANT (FNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MRS. TONYA GOODSON (ARNP-BC)

Family Nurse Practitioner
1798 Georgia St
NPI: 1902213770

MR. BRUCE FRANKLIN JR. FERRIS (ARNP)

Family Nurse Practitioner
6612 EVERLY ST
NPI: 1932752276
8809 CREE CT
NPI: 1275158701