Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WASHINGTON HILLS PRIMARY CARE LLC
NPI 1205441615
Clinic/Center - Primary Care in Orange Park, FL

Active since September 11, 2020
1532 KINGSLEY AVE STE 101, ORANGE PARK, FL 32073(904) 406-9399(833) 673-0308 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2026, Mar 17, 2025, Mar 19, 2021 and 1 more (4 updates tracked since 2020).

About Washington Hills Primary Care Llc NPPES

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

WASHINGTON HILLS PRIMARY CARE LLC (NPI 1205441615) is a healthcare organization registered as a primary care in Orange Park, Florida and active in the NPI registry since September 2020. The organization lists Regina I Washington, Autonomous Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1205441615
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameWASHINGTON HILLS PRIMARY CARE LLC
Location Address1532 KINGSLEY AVE STE 101Orange Park, FL 32073-4526
Mailing Address1532 Kingsley Ave Ste 101Orange Park, FL 32073-4526 · (904) 406-9399 · Fax (833) 673-0308
Fax(833) 673-0308
Organization SubpartNo
Authorized OfficialRegina I WashingtonAutonomous Nurse Practitioner · (904) 406-9399
Enumeration DateSeptember 11, 2020
Last NPPES UpdateSeptember 11, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1205441615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1532 KINGSLEY AVE STE 101, Orange Park, FL 32073

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Washington Hills Primary Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Washington Hills Primary Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1083816946
1532 KINGSLEY AVE STE 101
Orange Park, FL 32073
(904) 406-9399
✔ 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 Washington Hills Primary Care LLC's NPI number?

The NPI number for Washington Hills Primary Care LLC is 1205441615. It was assigned to this organization in the NPPES registry on September 11, 2020.

Where is Washington Hills Primary Care LLC located?

Washington Hills Primary Care LLC is located at 1532 Kingsley Ave Ste 101, Orange Park, FL 32073. The listed phone number is (904) 406-9399.

What is Washington Hills Primary Care LLC's specialty?

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

Is Washington Hills Primary Care LLC enrolled in Medicare?

Yes. Washington Hills Primary Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Washington Hills Primary Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Washington Hills Primary Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Washington Hills Primary Care LLC was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.