COASTAL PAIN MANAGEMENT PLLC
NPI 1609499524
Clinic/Center in Gulf Breeze, FL

Active since May 27, 2020
14 LIVE OAK ST STE C-4, GULF BREEZE, FL 32561(850) 490-8862(937) 915-0250 Get Directions Write a Review

NPPES record last updated: June 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 1, 2020, May 27, 2020 (2 updates tracked since 2020).

About Coastal Pain Management Pllc NPPES

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

COASTAL PAIN MANAGEMENT PLLC (NPI 1609499524) is a healthcare organization registered as a clinic/center in Gulf Breeze, Florida and active in the NPI registry since May 2020. The organization lists Laura Tunke, Owner, as its authorized official.

NPPES Registry Identity

NPI1609499524
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOASTAL PAIN MANAGEMENT PLLC
Location Address14 LIVE OAK ST STE C-4Gulf Breeze, FL 32561-4484
Mailing Address14 Live Oak St Ste C-4Gulf Breeze, FL 32561-4484
Fax(937) 915-0250
Organization SubpartNo
Authorized OfficialLaura TunkeOwner · (850) 490-8862
Enumeration DateMay 27, 2020
Last NPPES UpdateJune 1, 20202 updates tracked since enumeration
NPPES CertifiedJune 1, 2020
✔ NPI 1609499524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
14 LIVE OAK ST STE C-4, Gulf Breeze, FL 32561

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 Pain Management Pllc 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 Coastal Pain Management PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anesthesiology
NPI 1588981849
14 LIVE OAK ST STE C-4
Gulf Breeze, FL 32561
(850) 490-8862
✔ PECOS✔ Accepts MedicareSame address

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 Coastal Pain Management PLLC's NPI number?

The NPI number for Coastal Pain Management PLLC is 1609499524. It was assigned to this organization in the NPPES registry on May 27, 2020.

Where is Coastal Pain Management PLLC located?

Coastal Pain Management PLLC is located at 14 Live Oak St Ste C-4, Gulf Breeze, FL 32561. The listed phone number is (850) 490-8862.

What is Coastal Pain Management PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Coastal Pain Management PLLC enrolled in Medicare?

Yes. Coastal Pain Management PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Pain Management PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Coastal Pain Management PLLC. 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.

When was this NPI record last updated?

The NPPES record for Coastal Pain Management PLLC was last updated on June 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.