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PRIMECARE PL
NPI 1407038169
Internal Medicine - Cardiovascular Disease in St Augustine, FL

Active since December 04, 2007CLIA 10D1032877 · Waiver
2720 US HIGHWAY 1 S # B, ST AUGUSTINE, FL 32086(904) 827-0078(904) 827-0140 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primecare Pl NPPES

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

PRIMECARE PL (NPI 1407038169) is a healthcare organization registered as a cardiovascular disease in St Augustine, Florida and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Robert C Kelsey, President, as its authorized official.

NPPES Registry Identity

NPI1407038169
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePRIMECARE PL
Location Address2720 US HIGHWAY 1 S # BSt Augustine, FL 32086-6301
Mailing Address2720 Us Highway 1 S # BSt Augustine, FL 32086-6301 · (904) 827-0078 · Fax (904) 827-0140
Phone(904) 827-0078
Fax(904) 827-0140
Organization SubpartNo
Authorized OfficialRobert C KelseyPresident · (904) 827-0078
Enumeration DateDecember 4, 2007
Last NPPES UpdateNovember 18, 2015
✔ NPI 1407038169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in FL · ME58662
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2720 US HIGHWAY 1 S # B, St Augustine, FL 32086
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Other Identifiers 7

Medicaid270845106FL
Medicaid270845105FL
Medicaid270845104FL
Medicaid270845101FL
Other97705FL · Bcbs
Medicare PINAI041FL
Medicaid270845102FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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 10D1032877

Primecare Pl · Saint Augustine, FL
Active · expires Oct 31, 2026
CLIA Number10D1032877
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorPhillip A. Wimpelberg
Laboratory Phone(904) 827-0078
Laboratory LocationPrimecare Pl2720 Us Hwy 1 S Ste B, Saint Augustine, FL 32086
CLIA data matches this NPI record on: 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 Primecare Pl's NPI number?

The NPI number for Primecare Pl is 1407038169. It was assigned to this organization in the NPPES registry on December 4, 2007.

Where is Primecare Pl located?

Primecare Pl is located at 2720 Us Highway 1 S # B, St Augustine, FL 32086. The listed phone number is (904) 827-0078.

What is Primecare Pl's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Primecare Pl hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1032877) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primecare Pl accept?

Health plans from AvMed list Primecare Pl 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 Primecare Pl was last updated on November 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.