LIVE OAK FAMILY PRACTICE, LLC
NPI 1134892201
Nurse Practitioner - Primary Care in Live Oak, FL
About Live Oak Family Practice, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVE OAK FAMILY PRACTICE, LLC (NPI 1134892201) is a healthcare organization registered as a primary care in Live Oak, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Melissa F Peters, Owner, 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)
Live Oak Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Live Oak Family Practice, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: 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 10D2233592
Live Oak Family Practice LLC · Live Oak, 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 Live Oak Family Practice, LLC's NPI number?
The NPI number for Live Oak Family Practice, LLC is 1134892201. It was assigned to this organization in the NPPES registry on July 26, 2021.
Where is Live Oak Family Practice, LLC located?
Live Oak Family Practice, LLC is located at 1304 Ohio Ave S, Live Oak, FL 32064. The listed phone number is (386) 364-0776.
What is Live Oak Family Practice, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Live Oak Family Practice, LLC enrolled in Medicare?
Yes. Live Oak Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Live Oak Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Live Oak Family Practice, LLC, in Cardiovascular Disease (Cardiology) and Nurse Practitioner. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Live Oak Family Practice, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2233592) is associated with this NPI, valid through August 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Live Oak Family Practice, LLC was last updated on July 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Live Oak Family Practice, Llc · NPI 1134892201
Primary Care organization in Live Oak, Florida. Organization record, active in the CMS NPPES registry since July 26, 2021.
## Identity
- **NPI:** 1134892201 (Entity type: Organization)
- **Enumerated:** July 26, 2021
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Melissa Peters, OWNER
## Practice location
- **Address:** 1304 OHIO AVE S, Live Oak, FL 32064-4156
- **Phone:** (386) 364-0776
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Cardiovascular Disease (Cardiology) (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 26, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134892201) · Data from the CMS NPPES public registry.