NEUROLOGY CLINIC PA
NPI 1457468548
Psychiatry & Neurology - Neurology in Melbourne, FL

Active since August 24, 2006
1333 PINE ST, MELBOURNE, FL 32901(321) 984-9400(321) 984-8782 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Neurology Clinic Pa NPPES

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

NEUROLOGY CLINIC PA (NPI 1457468548) is a healthcare organization registered as a neurology in Melbourne, Florida and active in the NPI registry since August 2006. The organization lists David J Packey, President, as its authorized official.

NPPES Registry Identity

NPI1457468548
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNEUROLOGY CLINIC PA
Location Address1333 PINE STMelbourne, FL 32901-3116
Mailing Address1333 Pine StMelbourne, FL 32901-3116 · (321) 984-9400 · Fax (321) 984-8782
Fax(321) 984-8782
Organization SubpartNo
Authorized OfficialDavid J PackeyPresident · (321) 984-9400
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 31, 2010
✔ NPI 1457468548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1333 PINE ST, Melbourne, FL 32901

Other Identifiers 1

Medicare ID-Type Unspecified33098FL · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neurology Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20061016000361Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Neurology Clinic PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1811738461
1333 PINE ST
Melbourne, FL 32901
(321) 984-9400
✔ PECOSSame address
Neurology
NPI 1417049719
1333 PINE ST
Melbourne, FL 32901
(321) 984-9400
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1316944788
1333 PINE ST
Melbourne, FL 32901
(321) 984-9400
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144715871
1114 CYPRESS GLEN CIR
Kissimmee, FL 34741
(407) 581-8640
✔ PECOS✔ Accepts Medicare52 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 Neurology Clinic PA's NPI number?

The NPI number for Neurology Clinic PA is 1457468548. It was assigned to this organization in the NPPES registry on August 24, 2006.

Where is Neurology Clinic PA located?

Neurology Clinic PA is located at 1333 Pine St, Melbourne, FL 32901. The listed phone number is (321) 984-9400.

What is Neurology Clinic PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Neurology Clinic PA enrolled in Medicare?

Yes. Neurology Clinic PA is registered in the Medicare PECOS enrollment system.

When is Neurology Clinic PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Neurology Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Neurology Clinic PA, in Neurology 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Neurology Clinic PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Neurology Clinic PA 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 Neurology Clinic PA was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.