TREASURE COAST PALLIATIVE CARE, LLC
NPI 1063658086
Specialist in Stuart, FL

Active since December 22, 2008
1201 SE INDIAN ST, STUART, FL 34997(772) 403-4500(772) 781-8031 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Treasure Coast Palliative Care, Llc NPPES

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

TREASURE COAST PALLIATIVE CARE, LLC (NPI 1063658086) is a healthcare organization registered as a specialist in Stuart, Florida and active in the NPI registry since December 2008. The organization lists Jackie Kendrick, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063658086
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTREASURE COAST PALLIATIVE CARE, LLC
Location Address1201 SE INDIAN STStuart, FL 34997-5688
Mailing Address1201 Se Indian StStuart, FL 34997-5688 · (772) 403-4500 · Fax (772) 781-8031
Fax(772) 781-8031
Organization SubpartNo
Authorized OfficialJackie KendrickPresident & Chief Executive Officer · (772) 403-4500
Enumeration DateDecember 22, 2008
Last NPPES UpdateApril 25, 2022
NPPES CertifiedApril 25, 2022
✔ NPI 1063658086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1201 SE INDIAN ST, Stuart, FL 34997

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 MULTIPLE SINGLE SPECIALTY GROUP

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)

Treasure Coast Palliative Care, Llc 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.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20110330000397Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Treasure Coast Palliative Care, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner8
Hospice/Palliative Care2
Family Practice1
Internal Medicine1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1922156470
1201 SE INDIAN ST
Stuart, FL 34997
(772) 403-4500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316546252
1201 SE INDIAN ST
Stuart, FL 34997
(772) 403-4500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1104956200
200 SE HOSPITAL AVE
Stuart, FL 34994
(772) 223-5618
✔ PECOS✔ Accepts Medicare2.5 mi
Hospice/Palliative Care
NPI 1831146745
2179 SE OCEAN BLVD
Stuart, FL 34996
(772) 301-6475
✔ PECOS2.6 mi
Nurse Practitioner
NPI 1639642242
2150 SW TRENTON LN
Port Saint Lucie, FL 34984
(561) 603-4043
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1760651285
8515 S US HIGHWAY 1 SUITE 3
Port St Lucie, FL 34952
(772) 380-4042
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1659983336
439 NW PRIMA VISTA BLVD
Port St Lucie, FL 34983
(772) 342-0507
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1407395312
2637 SW IMPORT DR
Port Saint Lucie, FL 34987
(772) 342-3794
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1982863163
1632 SW IVY ST
Port St Lucie, FL 34987
(917) 207-4785
✔ PECOS✔ Accepts Medicare15 mi
Hospice/Palliative Care
NPI 1912077108
5000 NW DUNN RD
Fort Pierce, FL 34981
(772) 403-4500
✔ PECOS16 mi
Nurse Practitioner
NPI 1629584289
1215 S 25TH ST
Fort Pierce, FL 34947
(772) 468-5925
✔ PECOS✔ Accepts Medicare20 mi
Nurse Practitioner
NPI 1770929994
3730 7TH TERRACE SUITE 101
Vero Beach, FL 32960
(772) 581-0528
✔ PECOS✔ Accepts Medicare35 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 Treasure Coast Palliative Care, LLC's NPI number?

The NPI number for Treasure Coast Palliative Care, LLC is 1063658086. It was assigned to this organization in the NPPES registry on December 22, 2008.

Where is Treasure Coast Palliative Care, LLC located?

Treasure Coast Palliative Care, LLC is located at 1201 SE Indian St, Stuart, FL 34997. The listed phone number is (772) 403-4500.

What is Treasure Coast Palliative Care, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Treasure Coast Palliative Care, LLC enrolled in Medicare?

Yes. Treasure Coast Palliative Care, LLC is registered in the Medicare PECOS enrollment system.

When is Treasure Coast Palliative Care, LLC'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 Treasure Coast Palliative Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Treasure Coast Palliative Care, 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 Nurse Practitioner (8), Hospice/Palliative Care (2) and Family Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Treasure Coast Palliative Care, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Treasure Coast Palliative Care, 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 Treasure Coast Palliative Care, LLC was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.