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NEUROTECH INC
NPI 1396828448
Family Medicine in Orange Park, FL

Active since October 23, 2006CLIA 10D1105827 · Waiver
930 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 269-0500(904) 269-9805 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Neurotech Inc NPPES

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

NEUROTECH INC (NPI 1396828448) is a healthcare organization registered as a family medicine in Orange Park, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Charles W Laskey, Financial Operator, as its authorized official.

NPPES Registry Identity

NPI1396828448
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEUROTECH INC
Location Address930 KINGSLEY AVEOrange Park, FL 32073
Mailing Address930 Kingsley AveOrange Park, FL 32073 · (904) 269-0500 · Fax (904) 269-9805
Phone(904) 269-0500
Fax(904) 269-9805
Organization SubpartNo
Authorized OfficialCharles W LaskeyFinancial Operator · (904) 269-0500
Enumeration DateOctober 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396828448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
930 KINGSLEY AVE, Orange Park, FL 32073
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Neurotech Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Joseph Shaughnessy, MD
Family Practice
NPI 1336236900
930 KINGSLEY AVE
Orange Park, FL 32073
(904) 269-0500
✔ PECOS✔ Accepts MedicareSame address
Casey Edwards, FNP-BC
Nurse Practitioner
NPI 1245587393
1635 WELLS RD STE 3
Orange Park, FL 32073
(904) 300-5949
✔ PECOS1.7 mi
Andrea Wilson, CNP
Nurse Practitioner
NPI 1891341681
2080 CHILD ST
Jacksonville, FL 32214
(904) 546-7065
✔ PECOS3.5 mi
Jessica Volpe, ARNP
Nurse Practitioner
NPI 1427560556
7855 ARGYLE FOREST BLVD STE 601
Jacksonville, FL 32244
(904) 570-9404
✔ PECOS✔ Accepts Medicare4.5 mi

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 10D1105827

Neurotech Inc · Orange Park, FL
Active · expires Sep 28, 2027
CLIA Number10D1105827
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorJoseph M. Shaughnessy
Laboratory Phone(904) 269-0500
Laboratory LocationNeurotech Inc930 Kingsley Ave, Orange Park, FL 32073
CLIA data matches this NPI record on: Address Name Phone
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 Neurotech Inc's NPI number?

The NPI number for Neurotech Inc is 1396828448. It was assigned to this organization in the NPPES registry on October 23, 2006.

Where is Neurotech Inc located?

Neurotech Inc is located at 930 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 269-0500.

What is Neurotech Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Neurotech Inc enrolled in Medicare?

Yes. Neurotech Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neurotech Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Neurotech 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 (3) and Family Practice (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Neurotech Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1105827) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Neurotech Inc accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Neurotech 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 Neurotech Inc was last updated on August 22, 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.