LUXE MEDICAL SPA LLC
NPI 1366306763
Nurse Practitioner - Family in Wilton Manors, FL
About Luxe Medical Spa Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUXE MEDICAL SPA LLC (NPI 1366306763) is a healthcare organization registered as a family in Wilton Manors, Florida and active in the NPI registry since December 2025. The organization lists Carline Brownlee, Ambr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Luxe Medical Spa 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 Luxe Medical Spa LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Luxe Medical Spa LLC's NPI number?
The NPI number for Luxe Medical Spa LLC is 1366306763. It was assigned to this organization in the NPPES registry on December 11, 2025.
Where is Luxe Medical Spa LLC located?
Luxe Medical Spa LLC is located at 1881 NE 26th St Ste 102, Wilton Manors, FL 33305. The listed phone number is (954) 488-2256.
What is Luxe Medical Spa LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Luxe Medical Spa LLC enrolled in Medicare?
Yes. Luxe Medical Spa LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Luxe Medical Spa LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Luxe Medical Spa 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 Luxe Medical Spa LLC was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Luxe Medical Spa Llc · NPI 1366306763
Family organization in Wilton Manors, Florida. Organization record, active in the CMS NPPES registry since December 11, 2025.
## Identity
- **NPI:** 1366306763 (Entity type: Organization)
- **Enumerated:** December 11, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Carline Brownlee, AMBR
## Practice location
- **Address:** 1881 NE 26TH ST STE 102, Wilton Manors, FL 33305-1427
- **Phone:** (954) 488-2256
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366306763) · Data from the CMS NPPES public registry.