PEACE RIVER CARDIOVASCULAR CENTER
NPI 1326553793
Internal Medicine - Cardiovascular Disease in Port Charlotte, FL
About Peace River Cardiovascular Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACE RIVER CARDIOVASCULAR CENTER (NPI 1326553793) is a healthcare organization registered as a cardiovascular disease in Port Charlotte, Florida and active in the NPI registry since December 2017. The organization holds a CLIA Waiver certificate valid through December 10, 2027, maintains a secondary practice location in Port Charlotte, and lists Adrienne Goff Bandler, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peace River Cardiovascular Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Peace River Cardiovascular Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Port Charlotte, FL 33952
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 10D2141260
Peace River Cardiovascular Center · Port Charlotte, 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 Peace River Cardiovascular Center's NPI number?
The NPI number for Peace River Cardiovascular Center is 1326553793. It was assigned to this organization in the NPPES registry on December 7, 2017.
Where is Peace River Cardiovascular Center located?
Peace River Cardiovascular Center is located at 4161 Tamiami Trl Ste 701, Port Charlotte, FL 33952. The listed phone number is (941) 629-5356.
What is Peace River Cardiovascular Center's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Peace River Cardiovascular Center enrolled in Medicare?
Yes. Peace River Cardiovascular Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peace River Cardiovascular Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Peace River Cardiovascular Center. 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 (6) and Cardiovascular Disease (Cardiology) (4). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Peace River Cardiovascular Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2141260) is associated with this NPI, valid through December 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Peace River Cardiovascular Center accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and WellSense Health Plan list Peace River Cardiovascular Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peace River Cardiovascular Center was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Peace River Cardiovascular Center · NPI 1326553793
Cardiovascular Disease organization in Port Charlotte, Florida. Organization record, active in the CMS NPPES registry since December 7, 2017.
## Identity
- **NPI:** 1326553793 (Entity type: Organization)
- **Enumerated:** December 7, 2017
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Adrienne Bandler, PRACTICE MANAGER
## Practice location
- **Address:** 4161 TAMIAMI TRL STE 701, Port Charlotte, FL 33952
- **Phone:** (941) 629-5356 · **Fax:** (941) 629-4987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Cardiovascular Disease (Cardiology) (4); 3 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 26, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326553793) · Data from the CMS NPPES public registry.