CRC
NPI 1528165909
Point of Service in Jacksonville, FL
About Crc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRC (NPI 1528165909) is a healthcare organization registered as a point of service in Jacksonville, Florida and active in the NPI registry since September 2006. The organization lists Jimmie P. Hicks, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Crc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 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.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Crc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Community Rehabilitation Center Inc's NPI number?
The NPI number for Community Rehabilitation Center Inc is 1528165909. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Crc.
Where is Community Rehabilitation Center Inc located?
Community Rehabilitation Center Inc is located at 623 Beechwood Strret, Jacksonville, FL 32206. The listed phone number is (904) 358-1211.
What is Community Rehabilitation Center Inc's specialty?
The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.
Is Community Rehabilitation Center Inc enrolled in Medicare?
Yes. Community Rehabilitation Center Inc is registered in the Medicare PECOS enrollment system.
When is Community Rehabilitation Center Inc'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 March 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 Community Rehabilitation Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Community Rehabilitation Center Inc, in Mental Health Counselor 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Community Rehabilitation Center Inc accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Community Rehabilitation Center Inc 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 Community Rehabilitation Center Inc was last updated on July 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Crc · NPI 1528165909
Point of Service organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1528165909 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Point of Service · taxonomy 305S00000X
- **Legal business name:** Community Rehabilitation Center Inc
- **Organization subpart:** No
- **Authorized official:** Jimmie Hicks, CLINICAL DIRECTOR
## Practice location
- **Address:** 623 BEECHWOOD STRRET, Jacksonville, FL 32206
- **Phone:** (904) 358-1211 · **Fax:** (904) 358-1551
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (2), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1528165909) · Data from the CMS NPPES public registry.