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Kayla Patrice Sims

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2306 Martin Luther King Jr Blvd, Panama City, FL 32405-4404

PECOS Enrollment

This provider is enrolled in PECOS as KAYLA SIMS.

Based on the most recent information from CMS, provider Kayla Patrice Sims is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1649028697
Provider Type
Individual
Full Name
Sims, Kayla Patrice
Gender
Female

Sole Proprietor
No
Enumeration Date
5/7/2024
Last Updated
6/10/2024

Contact Information

Practice Location

2306 Martin Luther King Jr Blvd, Panama City, FL 32405-4404

(850) 250-0021

Unlisted Fax

Mailing Location

1623 Caleigh Ct, Lynn Haven, FL 32444-8344

(850) 319-6296

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11032891 Florida

Kayla Patrice Sims

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Miller, Denise A

Owens, Jenny Lee

Pruess, Bryan

Wiggins, Haley

Wright, Alyssa Lynn

Welch, Candis

World, Shawntell

Leb, Ashley

Mcloughlin, Lisa Patrice

Pippin, Lori A.