JUPITER LAKES PHYSICIAN GROUP PA
NPI 1154969699
Clinic/Center - Primary Care in Jupiter, FL
About Jupiter Lakes Physician Group Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUPITER LAKES PHYSICIAN GROUP PA (NPI 1154969699) is a healthcare organization registered as a primary care in Jupiter, Florida and active in the NPI registry since December 2019. The organization lists Michelle Fuller, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Jupiter Lakes Physician Group Pa 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 Jupiter Lakes Physician Group PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. 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.
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 Jupiter Lakes Physician Group PA's NPI number?
The NPI number for Jupiter Lakes Physician Group PA is 1154969699. It was assigned to this organization in the NPPES registry on December 16, 2019.
Where is Jupiter Lakes Physician Group PA located?
Jupiter Lakes Physician Group PA is located at 210 Jupiter Lakes Blvd Ste 4104, Jupiter, FL 33458. The listed phone number is (561) 744-3467.
What is Jupiter Lakes Physician Group PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jupiter Lakes Physician Group PA enrolled in Medicare?
Yes. Jupiter Lakes Physician Group PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jupiter Lakes Physician Group PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jupiter Lakes Physician Group PA, in Infectious Disease 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jupiter Lakes Physician Group PA accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jupiter Lakes Physician Group PA 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 Jupiter Lakes Physician Group PA was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jupiter Lakes Physician Group Pa · NPI 1154969699
Primary Care organization in Jupiter, Florida. Organization record, active in the CMS NPPES registry since December 16, 2019.
## Identity
- **NPI:** 1154969699 (Entity type: Organization)
- **Enumerated:** December 16, 2019
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Michelle Fuller, ADMINISTRATOR
## Practice location
- **Address:** 210 JUPITER LAKES BLVD STE 4104, Jupiter, FL 33458-7190
- **Phone:** (561) 744-3467 · **Fax:** (561) 748-3272
## 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), Infectious Disease (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1154969699) · Data from the CMS NPPES public registry.