INFUSION CENTER OF JACKSONVILLE, LLC
NPI 1336606383
Clinic/Center - Infusion Therapy in Jacksonville, FL
About Infusion Center Of Jacksonville, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INFUSION CENTER OF JACKSONVILLE, LLC (NPI 1336606383) is a healthcare organization registered as an infusion therapy in Jacksonville, Florida and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Sue Ellen Rottura, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Infusion Center Of Jacksonville, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Infusion Center Of Jacksonville, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (7)
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 10D2183135
Infusion Center Of Jacksonville LLC · Jacksonville, 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 Infusion Center Of Jacksonville, LLC's NPI number?
The NPI number for Infusion Center Of Jacksonville, LLC is 1336606383. It was assigned to this organization in the NPPES registry on February 26, 2019.
Where is Infusion Center Of Jacksonville, LLC located?
Infusion Center Of Jacksonville, LLC is located at 11512 Lake Mead Ave Ste 302-303, Jacksonville, FL 32256. The listed phone number is (561) 323-8987.
What is Infusion Center Of Jacksonville, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.
Is Infusion Center Of Jacksonville, LLC enrolled in Medicare?
Yes. Infusion Center Of Jacksonville, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Infusion Center Of Jacksonville, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Infusion Center Of Jacksonville, 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 Infusion Center Of Jacksonville, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2183135) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Infusion Center Of Jacksonville, LLC accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 3 other insurers list Infusion Center Of Jacksonville, LLC 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 Infusion Center Of Jacksonville, LLC was last updated on April 11, 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.
# Infusion Center Of Jacksonville, Llc · NPI 1336606383
Infusion Therapy organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since February 26, 2019.
## Identity
- **NPI:** 1336606383 (Entity type: Organization)
- **Enumerated:** February 26, 2019
- **Primary specialty:** Clinic/Center - Infusion Therapy · taxonomy 261QI0500X
- **Organization subpart:** No
- **Authorized official:** Sue Rottura, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 11512 LAKE MEAD AVE STE 302-303, Jacksonville, FL 32256-9680
- **Phone:** (561) 323-8987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 11, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336606383) · Data from the CMS NPPES public registry.