JUPITER OUTPATIENT SURGERY CENTER LLC
NPI 1417903899
Clinic/Center - Ambulatory Surgical in Jupiter, FL

Active since May 26, 2006CLIA 10D0991926 · Waiver
2055 MILITARY TRL, SUITE 100, JUPITER, FL 33458(561) 741-1705(561) 741-1397 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jupiter Outpatient Surgery Center Llc NPPES

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

JUPITER OUTPATIENT SURGERY CENTER LLC (NPI 1417903899) is a healthcare organization registered as an ambulatory surgical in Jupiter, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Donna M. Scroggins, Manager, as its authorized official.

NPPES Registry Identity

NPI1417903899
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameJUPITER OUTPATIENT SURGERY CENTER LLC
Location Address2055 MILITARY TRL, SUITE 100Jupiter, FL 33458-7801
Mailing Address2055 Military Trl, Suite 100Jupiter, FL 33458-7801 · (561) 741-1705 · Fax (561) 741-1397
Fax(561) 741-1397
Organization SubpartNo
Authorized OfficialDonna M. ScrogginsManager · (561) 630-6277
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1417903899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in FL · 1132
2055 MILITARY TRL, Jupiter, FL 33458

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)

Jupiter Outpatient Surgery Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Jupiter Outpatient Surgery Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Gastroenterology10
Nurse Practitioner4
Pathology1

Clinicians, nearest first (15)

Gastroenterology
NPI 1033503453
1397 MEDICAL PARK BLVD STE 300
Wellington, FL 33414
(561) 964-8221
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1508547373
1397 MEDICAL PARK BLVD STE 300
Wellington, FL 33414
(561) 964-8221
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1972183549
10115 FOREST HILL BLVD
Wellington, FL 33414
(561) 964-8221
✔ PECOS✔ Accepts Medicare19 mi
Gastroenterology
NPI 1467491977
5401 S CONGRESS AVE #211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Gastroenterology
NPI 1578579223
5401 S CONGRESS AVE STE 211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS22 mi
Nurse Practitioner
NPI 1609244854
5401 S CONGRESS AVE SUITE 211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Gastroenterology
NPI 1366487514
5401 S CONGRESS AVE #211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1205208063
5401 S CONGRESS AVE STE 211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Gastroenterology
NPI 1770539850
5401 S CONGRESS AVE # 211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Gastroenterology
NPI 1255302584
5401 S CONGRESS AVE STE 211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Gastroenterology
NPI 1215082102
5401 S CONGRESS AVE STE 211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Gastroenterology
NPI 1225073489
5401 S CONGRESS AVE STE 211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Pathology
NPI 1033219324
5401 S CONGRESS AVE STE 105B
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Gastroenterology
NPI 1356381370
5401 S CONGRESS AVE #211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 mi
Gastroenterology
NPI 1720541956
5401 S CONGRESS AVE STE 211
Atlantis, FL 33462
(561) 964-8221
✔ PECOS✔ Accepts Medicare22 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 10D0991926

Jupiter Outpatient Surgery Center LLC · Jupiter, FL
Active · expires Oct 1, 2027
CLIA Number10D0991926
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorLawrence P. Deziel
Laboratory Phone(561) 747-3872
Laboratory LocationJupiter Outpatient Surgery Center LLC2055 N Military Trail, Jupiter, FL 33458
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
693 services270 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
282 services175 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
271 services266 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
243 services96 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
235 services235 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
220 services107 patients

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 Jupiter Outpatient Surgery Center LLC's NPI number?

The NPI number for Jupiter Outpatient Surgery Center LLC is 1417903899. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Jupiter Outpatient Surgery Center LLC located?

Jupiter Outpatient Surgery Center LLC is located at 2055 Military Trl Suite 100, Jupiter, FL 33458. The listed phone number is (561) 741-1705.

What is Jupiter Outpatient Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Jupiter Outpatient Surgery Center LLC enrolled in Medicare?

Yes. Jupiter Outpatient Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jupiter Outpatient Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Jupiter Outpatient Surgery Center 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 Gastroenterology (10), Nurse Practitioner (4) and Pathology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jupiter Outpatient Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0991926) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jupiter Outpatient Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 4 other insurers list Jupiter Outpatient Surgery Center LLC 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 Jupiter Outpatient Surgery Center LLC was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.