THREE OAKS FAMILY MEDICINE LLC
NPI 1194336701
Family Medicine in Labelle, FL
About Three Oaks Family Medicine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THREE OAKS FAMILY MEDICINE LLC (NPI 1194336701) is a healthcare organization registered as a family medicine in Labelle, Florida and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Amanda Pacheco, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Three Oaks Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Three Oaks Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 10D2213034
Three Oaks Family Medicine LLC · Labelle, 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 Three Oaks Family Medicine LLC's NPI number?
The NPI number for Three Oaks Family Medicine LLC is 1194336701. It was assigned to this organization in the NPPES registry on August 17, 2020.
Where is Three Oaks Family Medicine LLC located?
Three Oaks Family Medicine LLC is located at 825 E Cowboy Way Units 102/103, Labelle, FL 33935. The listed phone number is (239) 560-2657.
What is Three Oaks Family Medicine LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Three Oaks Family Medicine LLC enrolled in Medicare?
Yes. Three Oaks Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Three Oaks Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Three Oaks Family 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. The largest specialties are Nurse Practitioner (7) and Family Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Three Oaks Family Medicine LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2213034) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Three Oaks Family Medicine LLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Three Oaks Family Medicine 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 Three Oaks Family Medicine LLC was last updated on August 17, 2020. 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.
# Three Oaks Family Medicine Llc · NPI 1194336701
Family Medicine organization in Labelle, Florida. Organization record, active in the CMS NPPES registry since August 17, 2020.
## Identity
- **NPI:** 1194336701 (Entity type: Organization)
- **Enumerated:** August 17, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Amanda Pacheco, OWNER/PROVIDER
## Practice location
- **Address:** 825 E COWBOY WAY, UNITS 102/103, Labelle, FL 33935
- **Phone:** (239) 560-2657
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Family Practice (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194336701) · Data from the CMS NPPES public registry.