CRESTVIEW URGENT CARE, INC.
NPI 1144458647
Clinic/Center - Urgent Care in Crestview, FL
About Crestview Urgent Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRESTVIEW URGENT CARE, INC. (NPI 1144458647) is a healthcare organization registered as an urgent care in Crestview, Florida and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through July 13, 2027, maintains 2 additional practice locations, and lists Charles Joseph Clancy, Physician Assistant, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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)
Crestview Urgent Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Crestview Urgent Care, Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 10D2027002
Crestview Urgent Care · Crestview, 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 Crestview Urgent Care, Inc.'s NPI number?
The NPI number for Crestview Urgent Care, Inc. is 1144458647. It was assigned to this organization in the NPPES registry on June 23, 2009.
Where is Crestview Urgent Care, Inc. located?
Crestview Urgent Care, Inc. is located at 1502 S Ferdon Blvd, Crestview, FL 32536. The listed phone number is (850) 398-1079.
What is Crestview Urgent Care, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.
Is Crestview Urgent Care, Inc. enrolled in Medicare?
Yes. Crestview Urgent Care, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crestview Urgent Care, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Crestview Urgent Care, Inc.. 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 Nurse Practitioner (4) and Emergency Medicine (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Crestview Urgent Care, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2027002) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Crestview Urgent Care, Inc. accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Crestview Urgent Care, Inc. 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 Crestview Urgent Care, Inc. was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.
# Crestview Urgent Care, Inc. · NPI 1144458647
Urgent Care organization in Crestview, Florida. Organization record, active in the CMS NPPES registry since June 23, 2009.
## Identity
- **NPI:** 1144458647 (Entity type: Organization)
- **Enumerated:** June 23, 2009
- **Primary specialty:** Clinic/Center - Urgent Care · taxonomy 261QU0200X
- **Organization subpart:** No
- **Authorized official:** Charles Clancy, PHYSICIAN ASSISTANT
## Practice location
- **Address:** 1502 S FERDON BLVD, Crestview, FL 32536-8444
- **Phone:** (850) 398-1079
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Emergency Medicine (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 1, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1144458647) · Data from the CMS NPPES public registry.