BLUEWATER BEHAVIORAL HEALTH INC – Psychiatric/Mental Health Nurse Practitioner, NPI 1922562628
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BLUEWATER BEHAVIORAL HEALTH INC
4515 PARKVIEW LN
NICEVILLE, FL 325788734
Phone: (423) 930-4667
Type: Mailing
4400 E HIGHWAY 20
NICEVILLE, FL 325788779
Phone: (850) 797-2598
Type: Location
907 Mar Walt Dr Ste 2013
Fort Walton Beach, FL 325476756
Phone: (850) 797-9438
Fax: (773) 492-8765
Type: Location
4400 E HIGHWAY 20 STE 208
NICEVILLE, FL 325789735
Phone: (575) 520-1230
Fax: (773) 492-8765
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: 2019-03-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (585 days ago).
Enrollment records
1
Earliest due date
2024-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20190326000623 | O | Clinic/Group Practice | FL | 2024-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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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