GRACE MEDICAL CENTER OF FLORIDA, INC.
NPI 1235564303
Internal Medicine in Palm Beach Gardens, FL

Active since September 09, 2013CLIA 10D2068920 · Waiver
4212 NORTHLAKE BLVD, PALM BEACH GARDENS, FL 33410(561) 841-6252 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Grace Medical Center Of Florida, Inc. NPPES

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

GRACE MEDICAL CENTER OF FLORIDA, INC. (NPI 1235564303) is a healthcare organization registered as an internal medicine in Palm Beach Gardens, Florida and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Wyslaine Lamontagne, President, as its authorized official.

NPPES Registry Identity

NPI1235564303
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGRACE MEDICAL CENTER OF FLORIDA, INC.
Location Address4212 NORTHLAKE BLVDPalm Beach Gardens, FL 33410-6252
Mailing Address4212 Northlake BlvdPalm Beach Gardens, FL 33410-6252 · (561) 841-6252 · Fax (561) 841-6260
Organization SubpartNo
Authorized OfficialWyslaine LamontagnePresident · (561) 841-6252
Enumeration DateSeptember 9, 2013
Last NPPES UpdateJuly 3, 2014
✔ NPI 1235564303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4212 NORTHLAKE BLVD, Palm Beach Gardens, FL 33410

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Grace Medical Center Of Florida, Inc. 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 Grace Medical Center Of Florida, Inc., 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 (2)

Internal Medicine
NPI 1811182918
4212 NORTHLAKE BLVD
Palm Beach Gardens, FL 33410
(561) 841-6252
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1164862215
1711 WORTHINGTON RD STE 104
West Palm Beach, FL 33409
(561) 486-8181
✔ PECOS✔ Accepts Medicare7.7 mi

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 10D2068920

Grace Medical Center Of Florida Inc · Palm Beach Gardens, FL
Active · expires Nov 13, 2027
CLIA Number10D2068920
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorWyslaine Lamontagne
Laboratory Phone(561) 841-6252
Laboratory LocationGrace Medical Center Of Florida Inc4212 Northlake Blvd, Palm Beach Gardens, FL 33410
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Grace Medical Center Of Florida, Inc.'s NPI number?

The NPI number for Grace Medical Center Of Florida, Inc. is 1235564303. It was assigned to this organization in the NPPES registry on September 9, 2013.

Where is Grace Medical Center Of Florida, Inc. located?

Grace Medical Center Of Florida, Inc. is located at 4212 Northlake Blvd, Palm Beach Gardens, FL 33410. The listed phone number is (561) 841-6252.

What is Grace Medical Center Of Florida, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Grace Medical Center Of Florida, Inc. enrolled in Medicare?

Yes. Grace Medical Center Of Florida, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Medical Center Of Florida, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Grace Medical Center Of Florida, Inc., in Internal Medicine 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.

Does Grace Medical Center Of Florida, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2068920) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grace Medical Center Of Florida, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Grace Medical Center Of Florida, 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 Grace Medical Center Of Florida, Inc. was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.