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

Active since February 06, 2023
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: November 01, 2026.

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 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rejuvene Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rejuvene Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1164034278
531 S 6TH ST STE C
Macclenny, FL 32063
(904) 687-3021
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295499937
7487 S SR 121
Macclenny, FL 32063
(904) 330-2371
✔ PECOS✔ Accepts Medicare4.4 mi
Nurse Practitioner
NPI 1790413730
150 LONGLEAF PINE PKWY
St Johns, FL 32259
(904) 398-7205
✔ PECOS✔ Accepts Medicare38 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 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.

Is Rejuvene LLC enrolled in Medicare?

Yes. Rejuvene LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rejuvene LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Rejuvene 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.