DEDICATED SENIOR MEDICAL CENTER WESTSIDE
NPI 1114434206
Specialist in Jacksonville, FL
About Dedicated Senior Medical Center Westside NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEDICATED SENIOR MEDICAL CENTER WESTSIDE (NPI 1114434206) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Raymond Jimenez, Director Of Client Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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)
Dedicated Senior Medical Center Westside is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
343Medicare enrollment records show 343 clinicians reassign Medicare billing to Dedicated Senior Medical Center Westside, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 343Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10D2146431
Dedicated Senior Medical Center - Westside · Jacksonville, FLFrequently 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 Dedicated Senior Medical Center Of Florida, LLC's NPI number?
The NPI number for Dedicated Senior Medical Center Of Florida, LLC is 1114434206. It was assigned to this organization in the NPPES registry on January 10, 2018. The provider is also known as Dedicated Senior Medical Center Westside.
Where is Dedicated Senior Medical Center Of Florida, LLC located?
Dedicated Senior Medical Center Of Florida, LLC is located at 6841 Blanding Blvd, Jacksonville, FL 32244. The listed phone number is (305) 628-6117.
What is Dedicated Senior Medical Center Of Florida, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dedicated Senior Medical Center Of Florida, LLC enrolled in Medicare?
Yes. Dedicated Senior Medical Center Of Florida, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dedicated Senior Medical Center Of Florida, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 343 clinicians in 10 Medicare specialties reassign their Medicare billing to Dedicated Senior Medical Center Of Florida, 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 Family Practice (129), Internal Medicine (120) and Nurse Practitioner (66). Of these, 13 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dedicated Senior Medical Center Of Florida, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2146431) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dedicated Senior Medical Center Of Florida, LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 33 other insurers list Dedicated Senior Medical Center Of Florida, 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 Dedicated Senior Medical Center Of Florida, LLC was last updated on March 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dedicated Senior Medical Center Westside · NPI 1114434206
Specialist organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since January 10, 2018.
## Identity
- **NPI:** 1114434206 (Entity type: Organization)
- **Enumerated:** January 10, 2018
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Legal business name:** Dedicated Senior Medical Center Of Florida, Llc
- **Organization subpart:** Yes (part of Dedicated Senior Medical Center Of Florida, Llc)
- **Authorized official:** Raymond Jimenez, DIRECTOR OF CLIENT SERVICES
## Practice location
- **Address:** 6841 BLANDING BLVD, Jacksonville, FL 32244
- **Phone:** (305) 628-6117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 343 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (129), Internal Medicine (120), Nurse Practitioner (66); 13 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1114434206/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114434206) · Data from the CMS NPPES public registry.