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CEREUS OSTEOPATHIC MEDICINE LLC
NPI 1336767680
Clinic/Center - Medical Specialty in Cocoa, FL

Active since July 13, 2020
870 N COCOA BLVD STE A, COCOA, FL 32922(321) 866-8847(954) 351-8349 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cereus Osteopathic Medicine Llc NPPES

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

CEREUS OSTEOPATHIC MEDICINE LLC (NPI 1336767680) is a healthcare organization registered as a medical specialty in Cocoa, Florida and active in the NPI registry since July 2020. The organization lists Amy Joy Selwach, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1336767680
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCEREUS OSTEOPATHIC MEDICINE LLC
Location Address870 N COCOA BLVD STE ACocoa, FL 32922-7588
Mailing Address870 N Cocoa Blvd Ste ACocoa, FL 32922-7588 · (321) 866-8847 · Fax (954) 351-8349
Phone(321) 866-8847
Fax(954) 351-8349
Organization SubpartNo
Authorized OfficialAmy Joy SelwachSole Member · (954) 257-4262
Enumeration DateJuly 13, 2020
NPPES CertifiedJuly 13, 2020
✔ NPI 1336767680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
870 N COCOA BLVD STE A, Cocoa, FL 32922
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cereus Osteopathic Medicine 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 Cereus Osteopathic Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amy Selwach, DO, MBA
Osteopathic Manipulative Medicine
NPI 1639538143
870 N COCOA BLVD STE A
Cocoa, FL 32922
(321) 866-8847
✔ PECOS✔ Accepts MedicareSame address

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 Cereus Osteopathic Medicine LLC's NPI number?

The NPI number for Cereus Osteopathic Medicine LLC is 1336767680. It was assigned to this organization in the NPPES registry on July 13, 2020.

Where is Cereus Osteopathic Medicine LLC located?

Cereus Osteopathic Medicine LLC is located at 870 N Cocoa Blvd Ste A, Cocoa, FL 32922. The listed phone number is (321) 866-8847.

What is Cereus Osteopathic Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Cereus Osteopathic Medicine LLC enrolled in Medicare?

Yes. Cereus Osteopathic Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cereus Osteopathic Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Osteopathic Manipulative Medicine) reassigns their Medicare billing to Cereus Osteopathic Medicine 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.

When was this NPI record last updated?

The NPPES record for Cereus Osteopathic Medicine LLC was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.