PROMISE MEDICAL GROUP, PLLC
NPI 1043560832
Internal Medicine in Wildwood, FL
About Promise Medical Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROMISE MEDICAL GROUP, PLLC (NPI 1043560832) is a healthcare organization registered as an internal medicine in Wildwood, Florida and active in the NPI registry since September 2012. The organization lists David Wayne Stephenson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Promise Medical Group, 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Promise Medical Group, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Promise Medical Group, PLLC's NPI number?
The NPI number for Promise Medical Group, PLLC is 1043560832. It was assigned to this organization in the NPPES registry on September 19, 2012.
Where is Promise Medical Group, PLLC located?
Promise Medical Group, PLLC is located at 9202 NW 26th St, Wildwood, FL 34785. The listed phone number is (352) 812-0579.
What is Promise Medical Group, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Promise Medical Group, PLLC enrolled in Medicare?
Yes. Promise Medical Group, PLLC is registered in the Medicare PECOS enrollment system.
When is Promise Medical Group, 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 Promise Medical Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Promise Medical Group, 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. 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 Promise Medical Group, PLLC was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Promise Medical Group, Pllc · NPI 1043560832
Internal Medicine organization in Wildwood, Florida. Organization record, active in the CMS NPPES registry since September 19, 2012.
## Identity
- **NPI:** 1043560832 (Entity type: Organization)
- **Enumerated:** September 19, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** David Stephenson, PRESIDENT
## Practice location
- **Address:** 9202 NW 26TH ST, Wildwood, FL 34785-7413
- **Phone:** (352) 812-0579 · **Fax:** (352) 571-4349
## 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:** 2 clinicians (Internal Medicine) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2024
- **Other identifiers:** Other FD876Z (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1043560832) · Data from the CMS NPPES public registry.