COASTAL INFUSION, LLC
NPI 1417714502
Clinic/Center - Infusion Therapy in Hollywood, FL

Active since March 05, 2024
3800 JOHNSON ST STE D, HOLLYWOOD, FL 33021(954) 361-1000 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2024, Mar 5, 2024 (2 updates tracked since 2024).

About Coastal Infusion, Llc NPPES

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

COASTAL INFUSION, LLC (NPI 1417714502) is a healthcare organization registered as an infusion therapy in Hollywood, Florida and active in the NPI registry since March 2024. The organization lists Nicole Beguiristain, Director, Business Development, as its authorized official.

NPPES Registry Identity

NPI1417714502
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameCOASTAL INFUSION, LLC
Location Address3800 JOHNSON ST STE DHollywood, FL 33021-6052
Mailing Address4331 N Federal Hwy Ste 300Ft Lauderdale, FL 33308-5252 · (954) 361-1000
Organization SubpartNo
Authorized OfficialNicole BeguiristainDirector, Business Development · (786) 394-3063
Enumeration DateMarch 5, 2024
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1417714502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
3800 JOHNSON ST STE D, Hollywood, FL 33021

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Coastal Infusion, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1174139661
11951 NW 29TH PL
Sunrise, FL 33323
(786) 630-3058
✔ PECOS✔ Accepts Medicare13 mi
Internal Medicine
NPI 1366899585
10624 S EASTERN AVE # A-955
Henderson, NV 89052
(702) 800-5393
✔ PECOS2,170 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Coastal Infusion, LLC's NPI number?

The NPI number for Coastal Infusion, LLC is 1417714502. It was assigned to this organization in the NPPES registry on March 5, 2024.

Where is Coastal Infusion, LLC located?

Coastal Infusion, LLC is located at 3800 Johnson St Ste D, Hollywood, FL 33021. The listed phone number is (954) 361-1000.

What is Coastal Infusion, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Is Coastal Infusion, LLC enrolled in Medicare?

Yes. Coastal Infusion, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Infusion, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Coastal Infusion, LLC, in Internal Medicine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Coastal Infusion, LLC was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.