1. Home
  2. Directory
  3. Florida
  4. Fort Myers
  5. Clinic Center
  6. NPI Profile

OCEANSIDE PRIMARY CARE AND WELLNESS LLC
NPI 1265354559
Clinic/Center - Primary Care in Fort Myers, FL

Active since July 28, 2026
17595 S TAMIAMI TRL STE 211, FORT MYERS, FL 33908(941) 254-1094(239) 790-0936 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Oceanside Primary Care And Wellness Llc NPPES

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

OCEANSIDE PRIMARY CARE AND WELLNESS LLC (NPI 1265354559) is a healthcare organization registered as a primary care in Fort Myers, Florida and active in the NPI registry since July 2026. The organization lists Casey Ray Langford, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1265354559
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOCEANSIDE PRIMARY CARE AND WELLNESS LLC
Location Address17595 S TAMIAMI TRL STE 211Fort Myers, FL 33908-4889
Mailing Address17595 S Tamiami Trl Ste 211Fort Myers, FL 33908-4889 · (941) 254-1094 · Fax (239) 790-0936
Phone(941) 254-1094
Fax(239) 790-0936
Organization SubpartNo
Authorized OfficialCasey Ray LangfordOwner/operator · (941) 254-1094
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1265354559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
17595 S TAMIAMI TRL STE 211, Fort Myers, FL 33908
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oceanside Primary Care And Wellness 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 Oceanside Primary Care And Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Casey Langford, APRN
Nurse Practitioner
NPI 1093495459
17595 S TAMIAMI TRL STE 211
Fort Myers, FL 33908
(941) 254-1094
✔ 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 Oceanside Primary Care And Wellness LLC's NPI number?

The NPI number for Oceanside Primary Care And Wellness LLC is 1265354559. It was assigned to this organization in the NPPES registry on July 28, 2026.

Where is Oceanside Primary Care And Wellness LLC located?

Oceanside Primary Care And Wellness LLC is located at 17595 S Tamiami Trl Ste 211, Fort Myers, FL 33908. The listed phone number is (941) 254-1094.

What is Oceanside Primary Care And Wellness LLC's specialty?

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

Is Oceanside Primary Care And Wellness LLC enrolled in Medicare?

Yes. Oceanside Primary Care And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oceanside Primary Care And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Oceanside Primary Care And Wellness 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 Oceanside Primary Care And Wellness LLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.