MONOGRAM HEALTH PROFESSIONAL SERVICES OF FLORIDA LLC
NPI 1538883111
Internal Medicine - Nephrology in Jacksonville, FL
About Monogram Health Professional Services Of Florida Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONOGRAM HEALTH PROFESSIONAL SERVICES OF FLORIDA LLC (NPI 1538883111) is a healthcare organization registered as a nephrology in Jacksonville, Florida and active in the NPI registry since September 2022. The organization holds 2 active CLIA laboratory certificates and lists Shawn L Verner, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
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)
Monogram Health Professional Services Of Florida Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
98Medicare enrollment records show 98 clinicians reassign Medicare billing to Monogram Health Professional Services Of Florida LLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 98Source: 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 2
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 10D2309929
Monogram Health Professional Services Of Florida, LLC · Jacksonville, FLCertificate of Waiver 10D2317230
Monogram Health Professional Services Of Florida LLC · Jacksonville, 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 Monogram Health Professional Services Of Florida LLC's NPI number?
The NPI number for Monogram Health Professional Services Of Florida LLC is 1538883111. It was assigned to this organization in the NPPES registry on September 28, 2022.
Where is Monogram Health Professional Services Of Florida LLC located?
Monogram Health Professional Services Of Florida LLC is located at 4720 Salisbury Rd, Jacksonville, FL 32256. The listed phone number is (615) 673-4455.
What is Monogram Health Professional Services Of Florida LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Monogram Health Professional Services Of Florida LLC enrolled in Medicare?
Yes. Monogram Health Professional Services Of Florida LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Monogram Health Professional Services Of Florida LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 98 clinicians in 12 Medicare specialties reassign their Medicare billing to Monogram Health Professional Services Of Florida 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 Nurse Practitioner (59), Nephrology (10) and Family Practice (7). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Monogram Health Professional Services Of Florida LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Monogram Health Professional Services Of Florida LLC was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Monogram Health Professional Services Of Florida Llc · NPI 1538883111
Nephrology organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since September 28, 2022.
## Identity
- **NPI:** 1538883111 (Entity type: Organization)
- **Enumerated:** September 28, 2022
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Shawn Verner, SECRETARY
## Practice location
- **Address:** 4720 SALISBURY RD, Jacksonville, FL 32256-6101
- **Phone:** (615) 673-4455 · **Fax:** (615) 432-4651
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 98 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (59), Nephrology (10), Family Practice (7); 8 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1538883111/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2025
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1538883111) · Data from the CMS NPPES public registry.