DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
NPI 1033626122
Specialist in Jacksonville, FL
About Dedicated Senior Medical Center Of Florida, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC (NPI 1033626122) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since January 2018. The organization lists Mary Chen, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dedicated Senior Medical Center Of Florida, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
343Medicare enrollment records show 343 clinicians reassign Medicare billing to Dedicated Senior Medical Center Of Florida, LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 343Source: 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 Dedicated Senior Medical Center Of Florida, LLC's NPI number?
The NPI number for Dedicated Senior Medical Center Of Florida, LLC is 1033626122. It was assigned to this organization in the NPPES registry on January 10, 2018. The provider is also known as Dedicated Senior Medical Center Northside.
Where is Dedicated Senior Medical Center Of Florida, LLC located?
Dedicated Senior Medical Center Of Florida, LLC is located at 3059 Edgewood Avenue West, Jacksonville, FL 32209. The listed phone number is (305) 628-6117.
What is Dedicated Senior Medical Center Of Florida, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dedicated Senior Medical Center Of Florida, LLC enrolled in Medicare?
Yes. Dedicated Senior Medical Center Of Florida, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dedicated Senior Medical Center Of Florida, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 343 clinicians in 10 Medicare specialties reassign their Medicare billing to Dedicated Senior Medical Center Of Florida, LLC. 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 Family Practice (129), Internal Medicine (120) and Nurse Practitioner (66). Of these, 11 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Dedicated Senior Medical Center Of Florida, LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 33 other insurers list Dedicated Senior Medical Center Of Florida, LLC 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 Dedicated Senior Medical Center Of Florida, LLC was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dedicated Senior Medical Center Of Florida, Llc · NPI 1033626122
Specialist organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since January 10, 2018.
## Identity
- **NPI:** 1033626122 (Entity type: Organization)
- **Enumerated:** January 10, 2018
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Also known as:** Dedicated Senior Medical Center Northside (Other Name)
- **Organization subpart:** Yes (part of Dedicated Senior Medical Center Of Florida, Llc)
- **Authorized official:** Mary Chen, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 3059 EDGEWOOD AVENUE WEST, Jacksonville, FL 32209
- **Phone:** (305) 628-6117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 343 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (129), Internal Medicine (120), Nurse Practitioner (66); 11 practice at this address and 24 within 10 miles; [full list](https://npiprofile.com/npi/1033626122/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033626122) · Data from the CMS NPPES public registry.