DELAND PRIMARY CARE AND AESTHETICS LLC
NPI 1457127615
Nurse Practitioner - Family in Deland, FL
About Deland Primary Care And Aesthetics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DELAND PRIMARY CARE AND AESTHETICS LLC (NPI 1457127615) is a healthcare organization registered as a family in Deland, Florida and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Sharon Yelle, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 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)
Deland Primary Care And Aesthetics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Deland Primary Care And Aesthetics LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2304652
Deland Primary Care And Aesthetics LLC · Deland, 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 Deland Primary Care And Aesthetics LLC's NPI number?
The NPI number for Deland Primary Care And Aesthetics LLC is 1457127615. It was assigned to this organization in the NPPES registry on November 29, 2023.
Where is Deland Primary Care And Aesthetics LLC located?
Deland Primary Care And Aesthetics LLC is located at 131 E New York Ave Fl 3 Ste A, Deland, FL 32724. The listed phone number is (386) 202-1401.
What is Deland Primary Care And Aesthetics LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Deland Primary Care And Aesthetics LLC enrolled in Medicare?
Yes. Deland Primary Care And Aesthetics LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deland Primary Care And Aesthetics LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Deland Primary Care And Aesthetics 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deland Primary Care And Aesthetics LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2304652) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Deland Primary Care And Aesthetics LLC was last updated on November 29, 2023. 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.
# Deland Primary Care And Aesthetics Llc · NPI 1457127615
Family organization in Deland, Florida. Organization record, active in the CMS NPPES registry since November 29, 2023.
## Identity
- **NPI:** 1457127615 (Entity type: Organization)
- **Enumerated:** November 29, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Sharon Yelle, OWNER
## Practice location
- **Address:** 131 E NEW YORK AVE FL 3, STE A, Deland, FL 32724
- **Phone:** (386) 202-1401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457127615) · Data from the CMS NPPES public registry.