REJUVENE FAMILY MEDICINE
NPI 1073219523
Nurse Practitioner - Family in Macclenny, FL

Q: What is Rejuvene LLC's NPI number?

The NPI number for Rejuvene LLC is 1073219523. It was assigned to this organization in the NPPES registry on February 6, 2023. The provider is doing business as Rejuvene Family Medicine.

Q: What is Rejuvene LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Rejuvene LLC was last updated on March 21, 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.

Active since February 06, 2023CLIA 10D2277405 · Waiver

531 S 6TH ST STE C, MACCLENNY, FL 32063(904) 478-5790(904) 375-3554 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Rejuvene Family Medicine NPPES

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

REJUVENE FAMILY MEDICINE (NPI 1073219523) is a healthcare organization registered as a family in Macclenny, Florida and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through February 26, 2027 and lists Rachel Sirois, Owner, as its authorized official.

NPPES Registry Identity

NPI1073219523

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameREJUVENE LLC

Location Address531 S 6TH ST STE CMacclenny, FL 32063-2605

Mailing Address531 S 6th StMacclenny, FL 32063-2605 · (904) 687-3021

Phone(904) 478-5790

Fax(904) 375-3554

Organization SubpartNo

Authorized OfficialRachel SiroisOwner · (904) 478-5790

Enumeration DateFebruary 6, 2023

Last NPPES UpdateMarch 21, 2024

NPPES CertifiedMarch 21, 2024

✔ NPI 1073219523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

531 S 6TH ST STE C, Macclenny, FL 32063

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Other Names 1

Doing Business AsRejuvene Family Medicine

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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 of Waiver 10D2277405

Rejuvene Family Medicine · Macclenny, FL

Active · expires Feb 26, 2027

CLIA Number10D2277405

Laboratory TypePractitioner Other

Certificate Effective DateFebruary 27, 2025

Certificate Expiration DateFebruary 26, 2027

Laboratory DirectorRachel A. Sirois

Laboratory Phone(904) 687-3021

Laboratory LocationRejuvene Family Medicine531 S 6th St - Ste C, Macclenny, FL 32063

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL SIROIS APRN

Nurse Practitioner (Family)

531 S 6TH ST STE C
MACCLENNY, FL 32063

Baker County (904) 687-3021

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 Rejuvene LLC's NPI number?

The NPI number for Rejuvene LLC is 1073219523. It was assigned to this organization in the NPPES registry on February 6, 2023. The provider is doing business as Rejuvene Family Medicine.

Where is Rejuvene LLC located?

Rejuvene LLC is located at 531 S 6th St Ste C, Macclenny, FL 32063. The listed phone number is (904) 478-5790.

What is Rejuvene LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Rejuvene LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2277405) is associated with this NPI, valid through February 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rejuvene LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Rejuvene 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 Rejuvene LLC was last updated on March 21, 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.