COASTAL VISION CENTER
NPI 1538655014
Ophthalmology in Fernandina, FL
About Coastal Vision Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL VISION CENTER (NPI 1538655014) is a healthcare organization registered as an ophthalmology in Fernandina, Florida and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through April 25, 2028 and lists Nichole Rene Barnett, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
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)
Coastal Vision Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Coastal Vision Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (17)
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 10D2303531
Coastal Vision Center · Fernandina Beach, 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 Russell Stackhouse MD PA's NPI number?
The NPI number for Russell Stackhouse MD PA is 1538655014. It was assigned to this organization in the NPPES registry on July 8, 2018. The provider is doing business as Coastal Vision Center.
Where is Russell Stackhouse MD PA located?
Russell Stackhouse MD PA is located at 6 S 14th St, Fernandina, FL 32034. The listed phone number is (904) 261-5741.
What is Russell Stackhouse MD PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Russell Stackhouse MD PA enrolled in Medicare?
Yes. Russell Stackhouse MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Russell Stackhouse MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 4 Medicare specialties reassign their Medicare billing to Russell Stackhouse MD PA. 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 Optometry (12), Ophthalmology (3) and Orthopedic Surgery (1). Of these, 6 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Russell Stackhouse MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2303531) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Russell Stackhouse MD PA accept?
Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Russell Stackhouse MD 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 Russell Stackhouse MD PA was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Coastal Vision Center · NPI 1538655014
Ophthalmology organization in Fernandina, Florida. Organization record, active in the CMS NPPES registry since July 8, 2018.
## Identity
- **NPI:** 1538655014 (Entity type: Organization)
- **Enumerated:** July 8, 2018
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Legal business name:** Russell Stackhouse Md Pa
- **Organization subpart:** No
- **Authorized official:** Nichole Barnett, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 6 S 14TH ST, Fernandina, FL 32034-3212
- **Phone:** (904) 261-5741 · **Fax:** (904) 261-7383
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (12), Ophthalmology (3), Orthopedic Surgery (1); 6 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2022
- **Other identifiers:** Other 070583
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538655014) · Data from the CMS NPPES public registry.