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Dr. Nolan Nathaniel Andres , DO

General Practice β€’ Eglin Afb, FL

Active NPI 1871120360 Individual Practitioner Male Practitioner
Practice location in NPPES

307 Boatner Rd Ste 114
Eglin Afb, FL 325421302

Call 8508838132 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Telephone 8508838132
Organization at the Same NPPES Address or Phone
96th Medgrp-Eglin Facility NPI 1083012223

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Andres has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Andres as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eglin Afb and Florida

18 active clinicians are listed under General Practice with a practice address in Eglin Afb, FL (2,293 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eglin Afb

0% of these 18 clinicians have the CMS telehealth indicator.

0% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-12
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES WI 82016-21

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

License # reported to NPPES WI 82016-21

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - FAMILY PRACTICE

Medicare Enrollment ID

I20250211003276

Enrollment State Jurisdiction

WA

PECOS Control ID

8729518360

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
NPI 1124557988

Doctor of Optometry

Beverly Carroll , CRNA

Nurse Anesthetist, Certified Registered

NPI 1730173469

Certified Registered Nurse Anesthetist

Dr. Magdy Falestiny , MD

Internal Medicine - Pulmonary Disease

NPI 1942421581

Doctor of Medicine (M.D.)

Dr. William Luthin , MD

Emergency Medicine

NPI 1730391343

Doctor of Medicine (M.D.)

Dr. Aric Steinmann , MD

Anesthesiology - Pain Medicine

NPI 1518163427

Doctor of Medicine (M.D.)

Sean Strait , CRNA

Nurse Anesthetist, Certified Registered

NPI 1316927924

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2025

Military Health Care Provider (license number reported to NPPES: WI 82016-21)

πŸ“
Updated Practice Location May 31, 2024

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838132)

πŸ“
Updated Business Mailing Address May 31, 2024

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838132)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

General Practice (license number reported to NPPES: WA OP61176020)

πŸ“
Updated Practice Location July 13, 2021

Registered at MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 984312201 (Tel: 2539680198)

πŸ“
Updated Business Mailing Address July 13, 2021

Registered at 840 SW 135TH ST, BURIEN, WA 981463146 (Tel: 9092392753)

βœ…
NPI Profile Active March 25, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 25, 2020

Registered at 2315 STOCKTON BLVD, SACRAMENTO, CA 958172201 (Tel: 9167342816)

πŸ“
Business Mailing Address (Initial Record) March 25, 2020

Registered at 2315 STOCKTON BLVD, SACRAMENTO, CA 958172201 (Tel: 9167342816)

πŸ‘€
Provider Name / Credentials (Initial Record) March 25, 2020

Recorded as NOLAN ANDRES, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 24, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871120360
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2020
Last Update: January 12, 2026
Sole Proprietor: No

Mailing Address

307 Boatner Rd Ste 114

Eglin Afb, FL 325421302

Phone: 8508838132

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.