MD FAMILY & WELLNESS, CORP
NPI 1306708698
Clinic/Center in Port Saint Lucie, FL

Active since November 25, 2025
5963 NW BAYNARD DR, PORT SAINT LUCIE, FL 34986(407) 686-2940(772) 404-7918 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Md Family & Wellness, Corp NPPES

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

MD FAMILY & WELLNESS, CORP (NPI 1306708698) is a healthcare organization registered as a clinic/center in Port Saint Lucie, Florida and active in the NPI registry since November 2025. The organization lists Marlevy Dominguez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306708698
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMD FAMILY & WELLNESS, CORP
Location Address5963 NW BAYNARD DRPort Saint Lucie, FL 34986-3604
Mailing Address5963 Nw Baynard DrPort Saint Lucie, FL 34986-3604 · (407) 686-2940 · Fax (772) 404-7918
Fax(772) 404-7918
Organization SubpartNo
Authorized OfficialMarlevy DominguezCeo · (407) 686-2940
Enumeration DateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
✔ NPI 1306708698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5963 NW BAYNARD DR, Port Saint Lucie, FL 34986

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Md Family & Wellness, Corp 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 MD Family & Wellness, Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1700752599
672 SW PRIMA VISTA BLVD STE 102
Port St Lucie, FL 34983
(772) 905-2560
✔ PECOS✔ Accepts Medicare2.2 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 MD Family & Wellness, Corp's NPI number?

The NPI number for MD Family & Wellness, Corp is 1306708698. It was assigned to this organization in the NPPES registry on November 25, 2025.

Where is MD Family & Wellness, Corp located?

MD Family & Wellness, Corp is located at 5963 NW Baynard Dr, Port Saint Lucie, FL 34986. The listed phone number is (407) 686-2940.

What is MD Family & Wellness, Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is MD Family & Wellness, Corp enrolled in Medicare?

Yes. MD Family & Wellness, Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through MD Family & Wellness, Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to MD Family & Wellness, Corp. 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 MD Family & Wellness, Corp was last updated on November 25, 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.