FIFE INTEGRATIVE HEALTH PA
NPI 1003794751
Nurse Practitioner - Psychiatric/Mental Health in St Augustine, FL

Active since August 21, 2025
2800 N 6TH ST STE 5138, ST AUGUSTINE, FL 32084(904) 944-6196 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 19, 2025, Nov 5, 2025 (2 updates tracked since 2025).

About Fife Integrative Health Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIFE INTEGRATIVE HEALTH PA (NPI 1003794751) is a healthcare organization registered as a psychiatric/mental health in St Augustine, Florida and active in the NPI registry since August 2025. The organization lists Toni Fife, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003794751
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFIFE INTEGRATIVE HEALTH PA
Location Address2800 N 6TH ST STE 5138St Augustine, FL 32084-1920
Mailing Address2800 N 6th St Ste 5138St Augustine, FL 32084-1920 · (904) 944-6196 · Fax (904) 341-5481
Organization SubpartNo
Authorized OfficialToni FifeCeo · (540) 771-4202
Enumeration DateAugust 21, 2025
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1003794751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2800 N 6TH ST STE 5138, St Augustine, FL 32084

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fife Integrative Health Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fife Integrative Health PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1619577566
2800 N 6TH ST STE 5138
St Augustine, FL 32084
(904) 944-6196
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164302907
19211 STONEY RIDGE PL
Triangle, VA 22172
(571) 456-6569
✔ PECOS637 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fife Integrative Health PA's NPI number?

The NPI number for Fife Integrative Health PA is 1003794751. It was assigned to this organization in the NPPES registry on August 21, 2025.

Where is Fife Integrative Health PA located?

Fife Integrative Health PA is located at 2800 N 6th St Ste 5138, St Augustine, FL 32084. The listed phone number is (904) 944-6196.

What is Fife Integrative Health PA's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Fife Integrative Health PA enrolled in Medicare?

Yes. Fife Integrative Health PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fife Integrative Health PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Fife Integrative Health PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fife Integrative Health PA was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.