Individual ProviderJeremy OlmsteadNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address45 Industrial Blvd Ste C, Pensacola, FL 32503-7668(850) 290-8410PECOS EnrollmentBased on the most recent information from CMS, provider Jeremy Olmstead is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1508302605Provider TypeIndividualFull NameOlmstead, JeremyCredentialARNPGenderMaleSole ProprietorNoEnumeration Date1/12/2017Last Updated7/7/2023Contact InformationPractice LocationPractice Address45 Industrial Blvd Ste C, Pensacola, FL 32503-7668Phone(850) 290-8410Fax(850) 436-2095Mailing LocationMailing Address45 Industrial Blvd Ste C, Pensacola, FL 32503-7668Phone(850) 290-8410Fax(850) 436-2095Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP9220704Florida