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SEASIDE WELLNESS PRIMARY CARE PLLC
NPI 1023864121
Nurse Practitioner - Gerontology in Largo, FL

Active since April 29, 2024CLIA 10D2306590 · Microscopy
7531 ULMERTON RD, LARGO, FL 33771(727) 270-5047(727) 877-3735 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2026, Apr 29, 2024 (2 updates tracked since 2024).

About Seaside Wellness Primary Care Pllc NPPES

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

SEASIDE WELLNESS PRIMARY CARE PLLC (NPI 1023864121) is a healthcare organization registered as a gerontology in Largo, Florida and active in the NPI registry since April 2024. The organization holds a CLIA Microscopy certificate valid through June 19, 2028 and lists Krista B Shenkman, Owner, as its authorized official.

NPPES Registry Identity

NPI1023864121
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameSEASIDE WELLNESS PRIMARY CARE PLLC
Location Address7531 ULMERTON RDLargo, FL 33771-4548
Mailing Address7531 Ulmerton RdLargo, FL 33771-4548 · (727) 270-5047 · Fax (727) 877-3735
Phone(727) 270-5047
Fax(727) 877-3735
Organization SubpartNo
Authorized OfficialKrista B ShenkmanOwner · (727) 270-5047
Enumeration DateApril 29, 2024
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1023864121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
7531 ULMERTON RD, Largo, FL 33771
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Seaside Wellness Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Seaside Wellness Primary Care PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Krista Shenkman, APRN, AGPCNP-BC
Nurse Practitioner
NPI 1346902335
7531 ULMERTON RD
Largo, FL 33771
(727) 270-5047
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2306590

Seaside Wellness Primary Care PLLC · Largo, FL
Active · expires Jun 19, 2028
CLIA Number10D2306590
Laboratory TypePractitioner Other
Certificate Effective DateJune 20, 2026
Certificate Expiration DateJune 19, 2028
Laboratory DirectorKrista B. Shenkman
Laboratory Phone(727) 270-5047
Laboratory LocationSeaside Wellness Primary Care PLLC7531 Ulmerton Road, Largo, FL 33771
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Seaside Wellness Primary Care PLLC's NPI number?

The NPI number for Seaside Wellness Primary Care PLLC is 1023864121. It was assigned to this organization in the NPPES registry on April 29, 2024.

Where is Seaside Wellness Primary Care PLLC located?

Seaside Wellness Primary Care PLLC is located at 7531 Ulmerton Rd, Largo, FL 33771. The listed phone number is (727) 270-5047.

What is Seaside Wellness Primary Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Seaside Wellness Primary Care PLLC enrolled in Medicare?

Yes. Seaside Wellness Primary Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seaside Wellness Primary Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Seaside Wellness Primary Care PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Seaside Wellness Primary Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2306590) is associated with this NPI, valid through June 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Seaside Wellness Primary Care PLLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.