PANCARE OF FLORIDA, INC
NPI 1366456287
Clinic/Center - Federally Qualified Health Center (FQHC) in Panama City, FL

Active since July 28, 2006CLIA Certified · 2 labs
2235 E 15TH ST, PANAMA CITY, FL 32405(850) 747-5272(850) 747-5274 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, May 26, 2023, Sep 20, 2016 (3 updates tracked since 2016).

About Pancare Of Florida, Inc NPPES

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

PANCARE OF FLORIDA, INC (NPI 1366456287) is a healthcare organization registered as a federally qualified health center (fqhc) in Panama City, Florida and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains 15 additional practice locations, and lists Robert Thompson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366456287
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePANCARE OF FLORIDA, INC
Location Address2235 E 15TH STPanama City, FL 32405-6023
Mailing Address403 E 11th StPanama City, FL 32401-3409 · (850) 747-5599 · Fax (850) 872-4131
Fax(850) 747-5274
Organization SubpartNo
Authorized OfficialRobert ThompsonCeo · (850) 747-5599
Enumeration DateJuly 28, 2006
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1366456287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2235 E 15TH ST, Panama City, FL 32405

Secondary Practice Locations 15

Location 11414 Main St Ste 4Chipley, FL 32428-6951 · Phone (850) 676-4926 · Fax (850) 676-4929
Location 2807 Highway 22Wewahitchka, FL 32465-3237 · Phone (850) 639-2028 · Fax (850) 639-2007
Location 3401 Cecil G Costin SR BlvdPort St Joe, FL 32456-1928 · Phone (850) 229-1043 · Fax (850) 229-1104
Location 4495 Saint Johns RdBonifay, FL 32425-4237 · Phone (850) 547-5547 · Fax (850) 547-5553
Location 511033 NW State Road 20Bristol, FL 32321-6406 · Phone (850) 643-1155 · Fax (850) 643-1163
Location 616875 NE Cayson StBlountstown, FL 32424-2209 · Phone (850) 674-2244 · Fax (850) 674-2249
Location 7479 State Highway 20 EFreeport, FL 32439-3931 · Phone (850) 880-6568 · Fax (850) 880-6583
Location 812427 Highway 231Youngstown, FL 32466-2562 · Phone (850) 753-3246 · Fax (850) 753-3342
Location 95336 10th StMalone, FL 32445-3429 · Phone (850) 569-2053 · Fax (850) 569-2062
Location 105230 W Highway 98Panama City, FL 32401-1041 · Phone (850) 873-3535 · Fax (850) 772-6686
Location 11106 NE 5th StCarrabelle, FL 32322-3529 · Phone (850) 697-5000 · Fax (850) 229-1104
Location 121440 Main StChipley, FL 32428-6943 · Phone (850) 676-4926 · Fax (850) 676-4929
Location 132309 E 15th StPanama City, FL 32405-6345 · Phone (850) 747-5272 · Fax (850) 747-5274
Location 14403 E 11th StPanama City, FL 32401-3409 · Phone (850) 767-3350 · Fax (850) 872-3353
Location 154126 Independent DrMarianna, FL 32448-4023 · Phone (850) 394-4907 · Fax (850) 394-4981

Other Identifiers 1

Medicaid689693600FL

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pancare Of Florida, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20210924002189Part A · Federally Qualified Health Center (FQHC)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

51

Medicare enrollment records show 51 clinicians reassign Medicare billing to Pancare Of Florida, Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner20
Dentist14
Clinical Social Worker6
General Practice4
Family Practice2
Internal Medicine1
Mental Health Counselor1
Optometry1
2 other specialties2

Nearest to this location (20)

See all 51
Clinical Social Worker
NPI 1982017604
2235 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOSSame address
Nurse Practitioner
NPI 1467887075
2235 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1619697513
2235 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1184237612
2235 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOSSame address
Optometry
NPI 1306935705
2235 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1376598581
2235 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1164462628
2309 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396237590
2309 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1073926325
2309 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOSSame address
Mental Health Counselor
NPI 1063531739
2309 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOSSame address
Nurse Practitioner
NPI 1992843148
2309 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972065902
2309 E 15TH ST
Panama City, FL 32405
(850) 747-5272
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1336454651
403 E 11TH ST
Panama City, FL 32401
(850) 767-3350
✔ PECOS1.4 mi
Dentist
NPI 1407697196
403 E 11TH ST
Panama City, FL 32401
(850) 767-3350
✔ PECOS1.4 mi
Dentist
NPI 1407657497
403 E 11TH ST
Panama City, FL 32401
(850) 767-3350
✔ PECOS1.4 mi
Dentist
NPI 1003122656
403 E 11TH ST
Panama City, FL 32401
(850) 767-3350
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1619222981
510 AIRPORT RD
Panama City, FL 32405
(850) 763-4669
✔ PECOS✔ Accepts Medicare2.0 mi
Nurse Practitioner
NPI 1376883082
1515 JUNE AVE
Panama City, FL 32405
(850) 818-0025
✔ PECOS✔ Accepts Medicare2.7 mi
Nurse Practitioner
NPI 1811293392
1515 JUNE AVENUE BLDG 1
Panama City, FL 32405
(850) 747-5599
✔ PECOS✔ Accepts Medicare2.7 mi
General Practice
NPI 1558307835
401 CECIL G COSTIN SR BLVD
Port St Joe, FL 32456
(850) 229-1043
✔ PECOS✔ Accepts Medicare3.6 mi
See all 51 clinicians

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 2

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 10D2111859

Pancare Of Florida, Inc · Port Saint Joe, FL
Active · expires Apr 17, 2028
CLIA Number10D2111859
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorRosa I. Bernier
Laboratory Phone(850) 229-1043
Laboratory LocationPancare Of Florida, Inc401 Cecil G Costin Sr Blvd, Port Saint Joe, FL 32456
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2070831

Pancare Of Florida Inc · Bonifay, FL
Active · expires Dec 25, 2027
CLIA Number10D2070831
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorJames Deruiter
Laboratory Phone(850) 872-4128
Laboratory LocationPancare Of Florida Inc495 St Johns Rd, Bonifay, FL 32425
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Pancare Of Florida, Inc's NPI number?

The NPI number for Pancare Of Florida, Inc is 1366456287. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Pancare Of Florida, Inc located?

Pancare Of Florida, Inc is located at 2235 E 15th St, Panama City, FL 32405. The listed phone number is (850) 747-5272.

What is Pancare Of Florida, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Pancare Of Florida, Inc enrolled in Medicare?

Yes. Pancare Of Florida, Inc is registered in the Medicare PECOS enrollment system.

When is Pancare Of Florida, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Florida, Federally Qualified Health Center (FQHC)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Pancare Of Florida, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 10 Medicare specialties reassign their Medicare billing to Pancare Of Florida, Inc. 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 (20), Dentist (14) and Clinical Social Worker (6). Of these, 6 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pancare Of Florida, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pancare Of Florida, Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee and 10 other insurers list Pancare Of Florida, Inc 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 Pancare Of Florida, Inc was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.