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ANCHOR INTERNAL MEDICINE LLC
NPI 1164387007
Clinic/Center - Primary Care in Merritt Island, FL

Active since December 23, 2025
650 S COURTENAY PKWY STE 100, MERRITT ISLAND, FL 32952(321) 420-1555(321) 208-8782 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2026, Mar 24, 2026, Dec 23, 2025 (3 updates tracked since 2025).

About Anchor Internal Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANCHOR INTERNAL MEDICINE LLC (NPI 1164387007) is a healthcare organization registered as a primary care in Merritt Island, Florida and active in the NPI registry since December 2025. The organization lists David E Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1164387007
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameANCHOR INTERNAL MEDICINE LLC
Location Address650 S COURTENAY PKWY STE 100Merritt Island, FL 32952-4977
Mailing Address650 S Courtenay Pkwy Ste 100Merritt Island, FL 32952-4977 · (321) 420-1555 · Fax (321) 208-8782
Phone(321) 420-1555
Fax(321) 208-8782
Organization SubpartNo
Authorized OfficialDavid E MartinOwner · (850) 621-2249
Enumeration DateDecember 23, 2025
Last NPPES UpdateMay 12, 20263 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1164387007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
650 S COURTENAY PKWY STE 100, Merritt Island, FL 32952
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anchor Internal Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Anchor Internal Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Shannon Kazman, NP
Nurse Practitioner
NPI 1205693801
650 S COURTENAY PKWY STE 100
Merritt Island, FL 32952
(321) 420-1555
✔ PECOS✔ Accepts MedicareSame address
David Martin
Nurse Practitioner
NPI 1861043648
650 S COURTENAY PKWY STE 100
Merritt Island, FL 32952
(321) 420-1555
✔ PECOS✔ Accepts MedicareSame address

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 Anchor Internal Medicine LLC's NPI number?

The NPI number for Anchor Internal Medicine LLC is 1164387007. It was assigned to this organization in the NPPES registry on December 23, 2025.

Where is Anchor Internal Medicine LLC located?

Anchor Internal Medicine LLC is located at 650 S Courtenay Pkwy Ste 100, Merritt Island, FL 32952. The listed phone number is (321) 420-1555.

What is Anchor Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Anchor Internal Medicine LLC enrolled in Medicare?

Yes. Anchor Internal Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anchor Internal Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Anchor Internal Medicine 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anchor Internal Medicine LLC was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.