CVS CLINIC PRIMARY CARE PLLC
NPI 1366206955
Clinic/Center - Multi-Specialty in Swampscott, MA
About Cvs Clinic Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CVS CLINIC PRIMARY CARE PLLC (NPI 1366206955) is a healthcare organization registered as a multi-specialty in Swampscott, Massachusetts and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Deborah Pincince, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cvs Clinic Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to CVS Clinic Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Waltham, MA 02453
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 22D2296040
CVS Clinic, PLLC · Swampscott, MAFrequently 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 CVS Clinic Primary Care PLLC's NPI number?
The NPI number for CVS Clinic Primary Care PLLC is 1366206955. It was assigned to this organization in the NPPES registry on February 13, 2024.
Where is CVS Clinic Primary Care PLLC located?
CVS Clinic Primary Care PLLC is located at 413 Paradise Rd Ste B, Swampscott, MA 01907. The listed phone number is (978) 922-2003.
What is CVS Clinic Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is CVS Clinic Primary Care PLLC enrolled in Medicare?
Yes. CVS Clinic Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through CVS Clinic Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to CVS Clinic Primary Care PLLC, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does CVS Clinic Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2296040) is associated with this NPI, valid through December 19, 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 CVS Clinic Primary Care PLLC was last updated on September 26, 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.
# Cvs Clinic Primary Care Pllc · NPI 1366206955
Multi-Specialty organization in Swampscott, Massachusetts. Organization record, active in the CMS NPPES registry since February 13, 2024.
## Identity
- **NPI:** 1366206955 (Entity type: Organization)
- **Enumerated:** February 13, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of Cvs Clinic Pllc)
- **Authorized official:** Deborah Pincince, ADMINISTRATOR
## Practice location
- **Address:** 413 PARADISE RD STE B, Swampscott, MA 01907-1332
- **Phone:** (978) 922-2003
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1366206955) · Data from the CMS NPPES public registry.