Credentialing by state / Florida
Nurse Practitioner Credentialing in Florida
Enrollments are billed 50% at the start and 50% at submission; everything else 100% at the start.
| NP practice environment | Restricted Practice (AANP) |
|---|---|
| Licensing authority | The Florida board of nursing, with physician collaboration or supervision required |
| Medicare contractor | First Coast Service Options, jurisdiction JN |
| Medicaid | Florida Medicaid, enrolled through the Florida Medicaid Provider Enrollment Wizard |
| Medicaid managed care | 10 plans, 3,050,800 members (2024) |
| Blue Cross Blue Shield plan | Florida Blue |
Florida Is a Restricted Practice State
The American Association of Nurse Practitioners classifies Florida as restricted practice: state law requires career-long supervision, delegation or team management by another health provider for the NP to provide patient care. 11 of the 50 states and DC have that classification, and they are where NP applications most often stall on agreement paperwork.
For credentialing, restricted practice means the supervising physician is effectively part of your application. Florida Medicaid and the commercial plans, including Florida Blue, typically ask for the supervision or delegation agreement, the physician's name, NPI and license, and sometimes the physician's own attestation. Some plans in restricted states credential NPs only as members of a physician-led group, so an NP-owned entity may be told the panel is limited even when the application is complete.
Medicare enrolls the NP on the CMS-855I without asking for the agreement, but its NP rule (42 CFR 410.75) requires compliance with Florida law, so supervision has to be in place before you bill First Coast Service Options. When the supervising physician leaves, the NP's ability to practice and to be paid depends on a new agreement being signed and reported to every plan, which makes that change the single biggest credentialing risk for a Florida NP.
Florida Medicaid Managed-Care Plans for NPs
After the state enrollment, each managed-care plan credentials you as its own application. The largest in Florida by 2024 enrollment:
- Sunshine State Health Plan: 1,197,452 members, owned by Centene
- Simply Healthcare Plans: 550,076 members, owned by Elevance Health
- Humana Medical Plan: 547,549 members, owned by Humana
See all 10 plans.
Neighboring States
If you practice near the border or by telehealth, the rules change at the state line: Alabama is reduced practice. Georgia shares Florida's classification.
- Alabama NP credentialing (Reduced Practice)
- Georgia NP credentialing (Restricted Practice)
The full NP checklist, the entity decision and where applications stall are in our nurse practitioner credentialing guide. For Medicare, Medicaid and commercial plans for every clinician type in the state, see credentialing in Florida.
Questions Florida NPs Ask
Do Florida nurse practitioners need a collaborating physician to get credentialed?
Yes in practice. AANP classifies Florida as restricted practice, and Florida Medicaid and most commercial plans ask for the supervision or delegation agreement and the physician's name and NPI with the application.
How does a Florida NP join Florida Medicaid?
Enroll with the Florida Agency for Health Care Administration (AHCA) through the Florida Medicaid Provider Enrollment Wizard. Most Florida Medicaid members are in managed care (3,050,800 enrolled across 10 plans in 2024), so after the state enrollment is active, each plan you want, such as Sunshine State Health Plan, Simply Healthcare Plans, Humana Medical Plan, credentials you separately.
Can an NP licensed in Florida see patients in a neighboring state?
Only with a license from that state, and each state's practice rules apply to the patients there. Alabama is reduced practice; Georgia is restricted practice. Payer enrollment is also per state, so seeing patients across the line means a separate Medicaid enrollment and separate commercial applications there.
What does PECS charge a Florida NP?
CAQH (DataSpring) profile build $500; Medicare enrollment $500; Florida Medicaid enrollment $500; each commercial application, including Florida Blue, $200 per provider. Enrollment services bill 50% at engagement and 50% at submission.
Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.
Sources: American Association of Nurse Practitioners, State Practice Environment (updated May 2026); KFF, Medicaid MCO Enrollment by Plan and Parent Firm, 2024. Practice classification is AANP's; confirm current rules with the Florida board of nursing. Updated October 7, 2026.