OGLETHORPE OF PORT ST LUCIE LLC
NPI 1093748162
Psychiatric Hospital in Port St Lucie, FL

Active since July 09, 2006
2550 SE WALTON RD, PORT ST LUCIE, FL 34952(772) 335-0400 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Oglethorpe Of Port St Lucie Llc NPPES

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

OGLETHORPE OF PORT ST LUCIE LLC (NPI 1093748162), doing business as Port St Lucie Hospital, is a healthcare organization registered as a psychiatric hospital in Port St Lucie, Florida and active in the NPI registry since July 2006. The organization lists Tracy A Roberts, Corporate Director Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1093748162
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameOGLETHORPE OF PORT ST LUCIE LLC
Location Address2550 SE WALTON RDPort St Lucie, FL 34952-7168
Mailing Address2550 Se Walton RdPort St Lucie, FL 34952-7168 · (772) 335-0400 · Fax (772) 337-3124
Organization SubpartNo
Authorized OfficialTracy A RobertsCorporate Director Revenue Cycle · (423) 895-0084
Enumeration DateJuly 9, 2006
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1093748162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
2550 SE WALTON RD, Port St Lucie, FL 34952

Other Names 1

Doing Business AsPort St Lucie Hospital

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)

Oglethorpe Of Port St Lucie 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 IDO20060822000158Part A · HospitalDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Oglethorpe Of Port St Lucie LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1003219056
2550 SE WALTON RD
Port St Lucie, FL 34952
(772) 335-0400
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1841227634
2318 NW BAY COLONY CT
Stuart, FL 34994
(772) 323-4418
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1013443159
1362 SW BAYSHORE BLVD
Port St Lucie, FL 34983
(772) 873-5213
✔ PECOS✔ Accepts Medicare6.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Port St Lucie Hospital (CMS certification number 104070), from CMS Care Compare.

Port St Lucie Hospital

Psychiatric · Port Saint Lucie, FL
OwnershipProprietary
CMS Certification Number104070
Location2550 SE Walton RdPort Saint Lucie, FL 34952 · St. Lucie County · (772) 335-0400
Emergency services

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 Oglethorpe Of Port St Lucie LLC's NPI number?

The NPI number for Oglethorpe Of Port St Lucie LLC is 1093748162. It was assigned to this organization in the NPPES registry on July 9, 2006. The provider is doing business as Port St Lucie Hospital.

Where is Oglethorpe Of Port St Lucie LLC located?

Oglethorpe Of Port St Lucie LLC is located at 2550 SE Walton Rd, Port St Lucie, FL 34952. The listed phone number is (772) 335-0400.

What is Oglethorpe Of Port St Lucie LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Oglethorpe Of Port St Lucie LLC enrolled in Medicare?

Yes. Oglethorpe Of Port St Lucie LLC is registered in the Medicare PECOS enrollment system.

When is Oglethorpe Of Port St Lucie LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, Hospital) 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 Oglethorpe Of Port St Lucie LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Oglethorpe Of Port St Lucie LLC, in Nurse Practitioner and Psychiatry. 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 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Oglethorpe Of Port St Lucie LLC a Medicare-certified hospital?

Yes. Port St Lucie Hospital is a Medicare-certified hospital (Psychiatric). The hospital provides emergency services.

What insurance does Oglethorpe Of Port St Lucie LLC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Oglethorpe Of Port St Lucie 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 Oglethorpe Of Port St Lucie LLC was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.