PREMIER ENDOCRINOLOGY PLLC
NPI 1033487426
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Cloud, FL
About Premier Endocrinology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER ENDOCRINOLOGY PLLC (NPI 1033487426) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Saint Cloud, Florida and active in the NPI registry since December 2011. The organization holds 2 active CLIA laboratory certificates and lists Theresa Adadzewa Fynn, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Endocrinology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Premier Endocrinology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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 2
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 of Waiver 10D2033700
Premier Endocrinology · Saint Cloud, FLCertificate of Waiver 10D2190411
Premier Endocrinology PLLC · Kissimmee, FLFrequently 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 Premier Endocrinology PLLC's NPI number?
The NPI number for Premier Endocrinology PLLC is 1033487426. It was assigned to this organization in the NPPES registry on December 13, 2011.
Where is Premier Endocrinology PLLC located?
Premier Endocrinology PLLC is located at 3004 17th St, Saint Cloud, FL 34769. The listed phone number is (407) 593-2910.
What is Premier Endocrinology PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Premier Endocrinology PLLC enrolled in Medicare?
Yes. Premier Endocrinology PLLC is registered in the Medicare PECOS enrollment system.
When is Premier Endocrinology PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Premier Endocrinology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Premier Endocrinology 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. The largest specialties are Endocrinology (3), Internal Medicine (1) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Premier Endocrinology PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Premier Endocrinology PLLC accept?
Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Premier Endocrinology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Premier Endocrinology PLLC was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Premier Endocrinology Pllc · NPI 1033487426
Endocrinology, Diabetes & Metabolism organization in Saint Cloud, Florida. Organization record, active in the CMS NPPES registry since December 13, 2011.
## Identity
- **NPI:** 1033487426 (Entity type: Organization)
- **Enumerated:** December 13, 2011
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Organization subpart:** No
- **Authorized official:** Theresa Fynn, OWNER
## Practice location
- **Address:** 3004 17TH ST, Saint Cloud, FL 34769-6011
- **Phone:** (407) 593-2910 · **Fax:** (407) 593-2913
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Endocrinology (3), Internal Medicine (1), Nurse Practitioner (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2020
- **Other identifiers:** Other 12316257
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033487426) · Data from the CMS NPPES public registry.