STANLEY A COHEN DO PA
NPI 1285809012
Psychiatry & Neurology - Psychiatry in St Augustine, FL
About Stanley A Cohen Do Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANLEY A COHEN DO PA (NPI 1285809012) is a healthcare organization registered as a psychiatry in St Augustine, Florida and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through March 12, 2027 and lists Shanan Moore, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stanley A Cohen Do Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Stanley A Cohen Do PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 10D2055467
Stanley Cohen Do PA · Saint Augustine, 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 Stanley A Cohen Do PA's NPI number?
The NPI number for Stanley A Cohen Do PA is 1285809012. It was assigned to this organization in the NPPES registry on April 23, 2008.
Where is Stanley A Cohen Do PA located?
Stanley A Cohen Do PA is located at 605 Palencia Club Dr # 201, St Augustine, FL 32095. The listed phone number is (904) 808-8595.
What is Stanley A Cohen Do PA's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Stanley A Cohen Do PA enrolled in Medicare?
Yes. Stanley A Cohen Do PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stanley A Cohen Do PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Stanley A Cohen Do PA, in Nurse Practitioner and Psychiatry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Stanley A Cohen Do PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2055467) is associated with this NPI, valid through March 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Stanley A Cohen Do PA was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Stanley A Cohen Do Pa · NPI 1285809012
Psychiatry organization in St Augustine, Florida. Organization record, active in the CMS NPPES registry since April 23, 2008.
## Identity
- **NPI:** 1285809012 (Entity type: Organization)
- **Enumerated:** April 23, 2008
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Shanan Moore, PRACTICE MANAGER
## Practice location
- **Address:** 605 PALENCIA CLUB DR # 201, St Augustine, FL 32095-6901
- **Phone:** (904) 808-8595 · **Fax:** (904) 808-8596
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Psychiatry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285809012) · Data from the CMS NPPES public registry.