COASTAL PLUS MEDICAL CENTER INC
NPI 1407172018
Clinic/Center - Primary Care in Jacksonville, FL
About Coastal Plus Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL PLUS MEDICAL CENTER INC (NPI 1407172018) is a healthcare organization registered as a primary care in Jacksonville, Florida and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through September 5, 2028 and lists Carmen Daniela Riza, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Coastal Plus Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Coastal Plus Medical Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 10D2118273
Coastal Plus Medical Center · Jacksonville, FLFrequently 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 Coastal Plus Medical Center Inc's NPI number?
The NPI number for Coastal Plus Medical Center Inc is 1407172018. It was assigned to this organization in the NPPES registry on April 8, 2010.
Where is Coastal Plus Medical Center Inc located?
Coastal Plus Medical Center Inc is located at 11761 Beach Blvd Suite 8, Jacksonville, FL 32246. The listed phone number is (904) 642-3304.
What is Coastal Plus Medical Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Coastal Plus Medical Center Inc enrolled in Medicare?
Yes. Coastal Plus Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Plus Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Coastal Plus Medical Center Inc, in Chiropractic, Family Practice 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 at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Plus Medical Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2118273) is associated with this NPI, valid through September 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coastal Plus Medical Center Inc accept?
Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Coastal Plus Medical Center 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 Coastal Plus Medical Center Inc was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Coastal Plus Medical Center Inc · NPI 1407172018
Primary Care organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since April 8, 2010.
## Identity
- **NPI:** 1407172018 (Entity type: Organization)
- **Enumerated:** April 8, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Carmen Riza, OWNER
## Practice location
- **Address:** 11761 BEACH BLVD, SUITE 8, Jacksonville, FL 32246-6615
- **Phone:** (904) 642-3304 · **Fax:** (904) 642-8375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Chiropractic (1), Nurse Practitioner (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407172018) · Data from the CMS NPPES public registry.