K C WELLNESS LOUNGE LLC
NPI 1245121995
Clinic/Center - Primary Care in Coconut Creek, FL

Active since July 11, 2025
4400 W SAMPLE RD STE 112, COCONUT CREEK, FL 33073(954) 546-4378 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 24, 2025, Jul 11, 2025 (2 updates tracked since 2025).

About K C Wellness Lounge Llc NPPES

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

K C WELLNESS LOUNGE LLC (NPI 1245121995) is a healthcare organization registered as a primary care in Coconut Creek, Florida and active in the NPI registry since July 2025. The organization lists Kerleine Jessica Rosemey, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1245121995
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameK C WELLNESS LOUNGE LLC
Location Address4400 W SAMPLE RD STE 112Coconut Creek, FL 33073-3457
Mailing Address4400 W Sample Rd Ste 112Coconut Creek, FL 33073-3457
Organization SubpartNo
Authorized OfficialKerleine Jessica RosemeyManaging Member · (954) 464-8592
Enumeration DateJuly 11, 2025
Last NPPES UpdateDecember 24, 20252 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1245121995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4400 W SAMPLE RD STE 112, Coconut Creek, FL 33073

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

K C Wellness Lounge 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 K C Wellness Lounge LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1295338507
6468 FRENCH ANGEL TER
Margate, FL 33063
(954) 464-8592
✔ PECOS✔ Accepts Medicare1.7 mi

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 K C Wellness Lounge LLC's NPI number?

The NPI number for K C Wellness Lounge LLC is 1245121995. It was assigned to this organization in the NPPES registry on July 11, 2025.

Where is K C Wellness Lounge LLC located?

K C Wellness Lounge LLC is located at 4400 W Sample Rd Ste 112, Coconut Creek, FL 33073. The listed phone number is (954) 546-4378.

What is K C Wellness Lounge LLC's specialty?

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

Is K C Wellness Lounge LLC enrolled in Medicare?

Yes. K C Wellness Lounge LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through K C Wellness Lounge LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to K C Wellness Lounge 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 K C Wellness Lounge LLC was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.