ISLAND HEALTH CARE
NPI 1316077464
Clinic/Center - Rural Health in Edgartown, MA

Active since March 07, 2007CLIA 22D1026115 · Microscopy
245 VINEYARD HAVEN-EDGARTOWN ROAD, EDGARTOWN, MA 02539(508) 939-9358 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Island Health Care NPPES

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

ISLAND HEALTH CARE (NPI 1316077464) is a healthcare organization registered as a rural health in Edgartown, Massachusetts and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through August 15, 2027 and lists Cynthia Mitchell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1316077464
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameISLAND HEALTH INC.
Location Address245 VINEYARD HAVEN-EDGARTOWN ROADEdgartown, MA 02539
Mailing AddressPo Box 1619West Tisbury, MA 02575-1619 · (508) 627-5797 · Fax (508) 627-5799
Organization SubpartNo
Authorized OfficialCynthia MitchellExecutive Director · (508) 627-5797
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1316077464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MA · 4XHU
245 VINEYARD HAVEN-EDGARTOWN ROAD, Edgartown, MA 02539

Other Names 1

Doing Business AsIsland Health Care

Other Identifiers 1

Medicaid22-3800MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Island Health Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Island Health Care, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner10
Clinical Social Worker1
Emergency Medicine1
Family Practice1
Obstetrics/Gynecology1

Clinicians, nearest first (14)

Nurse Practitioner
NPI 1578899795
245 VINEYARD HAVEN RD ISLAND HEALTH CARE, INC.
Edgartown, MA 02539
(508) 939-0717
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669270773
245 EDGARTOWN VINEYARD HAVEN RD
Edgartown, MA 02539
(508) 939-9358
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457509747
245 EDGARTOWN VINEYARD HAVEN RD
Edgartown, MA 02539
(508) 627-5797
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043738321
245 EDGARTOWN VINEYARD HAVEN RD
Edgartown, MA 02539
(508) 627-5797
✔ PECOSSame address
Nurse Practitioner
NPI 1790875169
245 EDGARTOWN VINEYARD HAVEN RD
Edgartown, MA 02539
(508) 627-5797
✔ PECOSSame address
Nurse Practitioner
NPI 1942322359
245 EDGARTOWN VINEYARD HAVEN RD
Edgartown, MA 02539
(508) 627-5797
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750721312
1 HOSPITAL ROAD
Oak Bluffs, MA 02557
(508) 693-3164
✔ PECOS5.2 mi
Nurse Practitioner
NPI 1174707855
23 WHITES PATH STE G
South Yarmouth, MA 02664
(508) 619-6533
✔ PECOS26 mi
Clinical Social Worker
NPI 1467098376
2 SCHOOL ST
Plymouth, MA 02360
(508) 830-1234
✔ PECOS✔ Accepts Medicare39 mi
Obstetrics/Gynecology
NPI 1891007803
330 BROOKLINE AVE
Boston, MA 02215
(617) 667-3736
✔ PECOS✔ Accepts Medicare72 mi
Emergency Medicine
NPI 1730230608
133 OLD ROAD TO NINE ACRE CORNER
Concord, MA 01742
(978) 369-1400
✔ PECOS85 mi
Nurse Practitioner
NPI 1861968380
215 ARLINGTON ST
Acton, MA 01720
(978) 399-4001
✔ PECOS✔ Accepts Medicare89 mi
Family Practice
NPI 1417954058
785 HOOSICK RD
Troy, NY 12180
(518) 279-4065
✔ PECOS✔ Accepts Medicare185 mi
Nurse Practitioner
NPI 1487199535
11150 STATE ROUTE 1
Point Reyes Station, CA 94956
(415) 663-1082
✔ PECOS✔ Accepts Medicare2,750 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 22D1026115

Island Health Care Dba Island Health Inc · Edgartown, MA
Active · expires Aug 15, 2027
CLIA Number22D1026115
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 16, 2025
Certificate Expiration DateAugust 15, 2027
Laboratory DirectorMs. Judy L. Jones
Laboratory Phone(508) 939-9358
Laboratory LocationIsland Health Care Dba Island Health Inc245 Edgartown Vineyard Haven Rd, Edgartown, MA 02539
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Island Health Inc.'s NPI number?

The NPI number for Island Health Inc. is 1316077464. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Island Health Care.

Where is Island Health Inc. located?

Island Health Inc. is located at 245 Vineyard Haven-Edgartown Road, Edgartown, MA 02539. The listed phone number is (508) 939-9358.

What is Island Health Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Island Health Inc. enrolled in Medicare?

Yes. Island Health Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Island Health Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 5 Medicare specialties reassign their Medicare billing to Island Health Inc.. 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. The largest specialties are Nurse Practitioner (10), Clinical Social Worker (1) and Emergency Medicine (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Island Health Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D1026115) is associated with this NPI, valid through August 15, 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 Island Health Inc. was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.