BLUE PEARL WELLNESS
NPI 1407596810
Clinic/Center - Research in Fort Lauderdale, FL
About Blue Pearl Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUE PEARL WELLNESS (NPI 1407596810) is a healthcare organization registered as a research in Fort Lauderdale, Florida and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Ariadna Gonzalez, Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Blue Pearl Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Blue Pearl Wellness, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 10D2215030
Professional Medical Research, LLC · Fort Lauderdale, 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 Professional Medical Research LLC's NPI number?
The NPI number for Professional Medical Research LLC is 1407596810. It was assigned to this organization in the NPPES registry on April 1, 2022. The provider is doing business as Blue Pearl Wellness.
Where is Professional Medical Research LLC located?
Professional Medical Research LLC is located at 4101 Ravenswood Rd Ste 202, Fort Lauderdale, FL 33312. The listed phone number is (954) 251-3454.
What is Professional Medical Research LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Research, with taxonomy code 261QR1100X.
Is Professional Medical Research LLC enrolled in Medicare?
Yes. Professional Medical Research LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Medical Research LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Professional Medical Research 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. The largest specialties are Nurse Practitioner (5) and General Practice (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Professional Medical Research LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2215030) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Professional Medical Research LLC was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Blue Pearl Wellness · NPI 1407596810
Research organization in Fort Lauderdale, Florida. Organization record, active in the CMS NPPES registry since April 1, 2022.
## Identity
- **NPI:** 1407596810 (Entity type: Organization)
- **Enumerated:** April 1, 2022
- **Primary specialty:** Clinic/Center - Research · taxonomy 261QR1100X
- **Legal business name:** Professional Medical Research Llc
- **Organization subpart:** No
- **Authorized official:** Ariadna Gonzalez, OFFICER
## Practice location
- **Address:** 4101 RAVENSWOOD RD STE 202, Fort Lauderdale, FL 33312-5301
- **Phone:** (954) 251-3454 · **Fax:** (954) 251-3474
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), General Practice (2); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407596810) · Data from the CMS NPPES public registry.