CLINICARE DIAGNOSTIC MEDICAL SERVICES
NPI 1609818145
Nurse Practitioner in Clearwater, FL

Active since June 11, 2006
2112 SUNNYDALE BLVD STE B, CLEARWATER, FL 33765(727) 796-2904(866) 961-5586 Get Directions Write a Review

NPPES record last updated: September 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2021, May 21, 2020, Apr 1, 2020 (3 updates tracked since 2020).

About Clinicare Diagnostic Medical Services NPPES

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

CLINICARE DIAGNOSTIC MEDICAL SERVICES (NPI 1609818145) is a healthcare organization registered as a nurse practitioner in Clearwater, Florida and active in the NPI registry since June 2006. The organization lists Kimberly Ann Johns, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609818145
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCLINICARE CLINICAL SERVICES, INC.
Location Address2112 SUNNYDALE BLVD STE BClearwater, FL 33765-1207
Mailing AddressPo Box 16264Clearwater, FL 33766-6264 · (727) 796-2904 · Fax (727) 796-2965
Fax(866) 961-5586
Organization SubpartNo
Authorized OfficialKimberly Ann JohnsCeo · (727) 796-2904
Enumeration DateJune 11, 2006
Last NPPES UpdateSeptember 5, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2021
✔ NPI 1609818145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X
2112 SUNNYDALE BLVD STE B, Clearwater, FL 33765

Other Names 1

Doing Business AsClinicare Diagnostic Medical Services

Other Identifiers 2

Other0010YFL · Florida Blue Cross
OtherHCC8722FL · Florida Ahca Healthcare Clinic License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinicare Diagnostic Medical Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Clinicare Diagnostic Medical Services, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1932812765
2112 SUNNYDALE BLVD STE B
Clearwater, FL 33765
(727) 796-2904
✔ PECOSSame address
Nurse Practitioner
NPI 1710591318
3349 GULFBREEZE TER
Palm Harbor, FL 34684
(727) 251-0728
✔ PECOS✔ Accepts Medicare7.8 mi
Nurse Practitioner
NPI 1790372167
1000 E TARPON AVE
Tarpon Springs, FL 34689
(352) 445-1618
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1871238147
6450 38TH AVE N STE 120
St Petersburg, FL 33710
(727) 317-3767
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1407025992
9009 CORPORATE LAKE DR
Tampa, FL 33634
(813) 890-7834
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1740734334
2882 14TH AVE N
St Petersburg, FL 33713
(941) 720-6985
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1891241535
4627 1ST AVE N
St Petersburg, FL 33713
(727) 215-4037
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1679137863
1750 16TH ST S UNIT 35207
Saint Petersburg, FL 33705
(813) 644-9372
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1932189214
221 HOBBS ST SUITE 101
Tampa, FL 33619
(813) 657-3200
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1912904095
14100 FIVAY RD SUITE 310
Hudson, FL 34667
(727) 862-3202
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1861082869
10420 S US 301 STE 2
Riverview, FL 33578
(813) 551-0911
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1669966719
500 E CENTRAL AVE
Winter Haven, FL 33880
(863) 293-1191
✔ PECOS✔ Accepts Medicare63 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 Clinicare Clinical Services, Inc.'s NPI number?

The NPI number for Clinicare Clinical Services, Inc. is 1609818145. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Clinicare Diagnostic Medical Services.

Where is Clinicare Clinical Services, Inc. located?

Clinicare Clinical Services, Inc. is located at 2112 Sunnydale Blvd Ste B, Clearwater, FL 33765. The listed phone number is (727) 796-2904.

What is Clinicare Clinical Services, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Clinicare Clinical Services, Inc. enrolled in Medicare?

Yes. Clinicare Clinical Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinicare Clinical Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Clinicare Clinical Services, Inc.. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clinicare Clinical Services, Inc. was last updated on September 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.