DEANNA ELAINE INGRAM (FNP) – Family Nurse Practitioner, NPI 1649558750

DEANNA ELAINE INGRAM (FNP) is a healthcare provider. based in Fernandina beach, Florida. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 9187104 (FL). The NPI Number for DEANNA ELAINE INGRAM (FNP) is 1649558750

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DEANNA ELAINE INGRAM (FNP)
NPI
1649558750
Phone
(904) 321-0088
Address
96279 BRADY POINT RD
Enumeration Date
25 July 2011
Last Update Date
19 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9043210088
Graduation Year
2011 (15 years ago)
PAC ID
5193996114
Group Practice PAC ID
6608877915
Professional Enrollment ID
I20110923000501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DEANNA ELAINE INGRAM (FNP)

  • 96279 BRADY POINT RD

    FERNANDINA BEACH, FL 320347076

    Phone: (904) 321-0088

    Type: Mailing

  • 103 KNOB HILL RD

    VALDOSTA, GA 316024220

    Phone: (904) 718-9387

    Type: Mailing

  • 6095 Marshalee Dr

    Elkridge, MD 210756053

    Phone: (855) 247-8474

    Type: Location

  • 9900 BREN RD E

    MINNETONKA, MN 553439664

    Phone: (800) 328-5979

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 32034)

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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: 6608877915View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL

Reviews

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Frequently asked questions

How do payers reference DEANNA ELAINE INGRAM (FNP)?
For DEANNA ELAINE INGRAM (FNP), use NPI 1649558750 as the unique 10-digit identifier.
Would DEANNA ELAINE INGRAM (FNP) appear as active to a payer?
You can treat DEANNA ELAINE INGRAM (FNP) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DEANNA ELAINE INGRAM (FNP)?
At a glance, DEANNA ELAINE INGRAM (FNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is DEANNA ELAINE INGRAM (FNP) associated with Fernandina Beach?
Public fields place DEANNA ELAINE INGRAM (FNP) around Fernandina Beach, 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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