SIREN FAMILY PRACTICE LLC
NPI 1306730478
Family Medicine in Ormond Beach, FL
About Siren Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIREN FAMILY PRACTICE LLC (NPI 1306730478) is a healthcare organization registered as a family medicine in Ormond Beach, Florida and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Jessica Johnson Hills, Owner/nurse Practitioner, 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)
Siren Family Practice 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 Siren Family Practice LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2342562
Siren Family Practice LLC · Ormond Beach, 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 Siren Family Practice LLC's NPI number?
The NPI number for Siren Family Practice LLC is 1306730478. It was assigned to this organization in the NPPES registry on June 4, 2025.
Where is Siren Family Practice LLC located?
Siren Family Practice LLC is located at 570 Memorial Cir Ste 120, Ormond Beach, FL 32174. The listed phone number is (386) 310-1310.
What is Siren Family Practice LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Siren Family Practice LLC enrolled in Medicare?
Yes. Siren Family Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Siren Family Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Siren Family Practice 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.
Does Siren Family Practice LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2342562) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Siren Family Practice LLC was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Siren Family Practice Llc · NPI 1306730478
Family Medicine organization in Ormond Beach, Florida. Organization record, active in the CMS NPPES registry since June 4, 2025.
## Identity
- **NPI:** 1306730478 (Entity type: Organization)
- **Enumerated:** June 4, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jessica Hills, OWNER/NURSE PRACTITIONER
## Practice location
- **Address:** 570 MEMORIAL CIR STE 120, Ormond Beach, FL 32174-5063
- **Phone:** (386) 310-1310
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306730478) · Data from the CMS NPPES public registry.