COASTAL FAMILY PRACTICE AND INTERNAL MEDICINE
NPI 1629686613
Internal Medicine in Jupiter, FL
About Coastal Family Practice And Internal Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COASTAL FAMILY PRACTICE AND INTERNAL MEDICINE (NPI 1629686613) is a healthcare organization registered as an internal medicine in Jupiter, Florida and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Janet D Eick, Access Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Family Practice And Internal Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Coastal Family Practice And Internal Medicine, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 10D2249872
Coastal Family Practice And Internal Med LLC · Palm Beach Gardens, 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 Coastal Family Practice And Internal Medicine's NPI number?
The NPI number for Coastal Family Practice And Internal Medicine is 1629686613. It was assigned to this organization in the NPPES registry on July 16, 2020.
Where is Coastal Family Practice And Internal Medicine located?
Coastal Family Practice And Internal Medicine is located at 1004 S Old Dixie Hwy Ste 201, Jupiter, FL 33458. The listed phone number is (561) 662-5964.
What is Coastal Family Practice And Internal Medicine's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Coastal Family Practice And Internal Medicine enrolled in Medicare?
Yes. Coastal Family Practice And Internal Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coastal Family Practice And Internal Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Coastal Family Practice And Internal Medicine. 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 Internal Medicine (3), Family Practice (1) and Physical Medicine and Rehabilitation (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coastal Family Practice And Internal Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2249872) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coastal Family Practice And Internal Medicine accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Coastal Family Practice And Internal Medicine 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 Coastal Family Practice And Internal Medicine was last updated on July 22, 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.
# Coastal Family Practice And Internal Medicine · NPI 1629686613
Internal Medicine organization in Jupiter, Florida. Organization record, active in the CMS NPPES registry since July 16, 2020.
## Identity
- **NPI:** 1629686613 (Entity type: Organization)
- **Enumerated:** July 16, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Janet Eick, ACCESS MANAGER
## Practice location
- **Address:** 1004 S OLD DIXIE HWY STE 201, Jupiter, FL 33458-7200
- **Phone:** (561) 662-5964 · **Fax:** (561) 284-8380
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Family Practice (1), Physical Medicine and Rehabilitation (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 22, 2020
- **Other identifiers:** Other 1780772673 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629686613) · Data from the CMS NPPES public registry.