PREMIERE CARE LLC
NPI 1104794353
Nurse Practitioner - Family in Fort Myers, FL
About Premiere Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIERE CARE LLC (NPI 1104794353) is a healthcare organization registered as a family in Fort Myers, Florida and active in the NPI registry since October 2025. The organization lists Tiffany D Schoen, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premiere Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Premiere Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Premiere Care LLC's NPI number?
The NPI number for Premiere Care LLC is 1104794353. It was assigned to this organization in the NPPES registry on October 28, 2025.
Where is Premiere Care LLC located?
Premiere Care LLC is located at 1244 Walden Dr, Fort Myers, FL 33901. The listed phone number is (904) 479-8280.
What is Premiere Care LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Premiere Care LLC enrolled in Medicare?
Yes. Premiere Care LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premiere Care LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Premiere 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Premiere Care LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Premiere Care Llc · NPI 1104794353
Family organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since October 28, 2025.
## Identity
- **NPI:** 1104794353 (Entity type: Organization)
- **Enumerated:** October 28, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Tiffany Schoen, MANAGER
## Practice location
- **Address:** 1244 WALDEN DR, Fort Myers, FL 33901-8834
- **Phone:** (904) 479-8280 · **Fax:** (239) 673-1625
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104794353) · Data from the CMS NPPES public registry.