PREMIER WELLNESS CENTERS LLC
NPI 1639322712
Chiropractor in Port St Lucie, FL
About Premier Wellness Centers Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER WELLNESS CENTERS LLC (NPI 1639322712) is a healthcare organization registered as a chiropractor in Port St Lucie, Florida and active in the NPI registry since November 2008. The organization lists William J Jensen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Wellness Centers Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Premier Wellness Centers LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
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 Premier Wellness Centers LLC's NPI number?
The NPI number for Premier Wellness Centers LLC is 1639322712. It was assigned to this organization in the NPPES registry on November 3, 2008.
Where is Premier Wellness Centers LLC located?
Premier Wellness Centers LLC is located at 10050 SW Innovation Way Suite 201, Port St Lucie, FL 34987. The listed phone number is (772) 879-8700.
What is Premier Wellness Centers LLC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Premier Wellness Centers LLC enrolled in Medicare?
Yes. Premier Wellness Centers LLC is registered in the Medicare PECOS enrollment system.
When is Premier Wellness Centers LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Premier Wellness Centers LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Premier Wellness Centers 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 Physical Therapist in Private Practice (5) and Chiropractic (3). Of these, 4 practice 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 Premier Wellness Centers LLC was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Premier Wellness Centers Llc · NPI 1639322712
Chiropractor organization in Port St Lucie, Florida. Organization record, active in the CMS NPPES registry since November 3, 2008.
## Identity
- **NPI:** 1639322712 (Entity type: Organization)
- **Enumerated:** November 3, 2008
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** William Jensen, OWNER
## Practice location
- **Address:** 10050 SW INNOVATION WAY, SUITE 201, Port St Lucie, FL 34987-2117
- **Phone:** (772) 879-8700 · **Fax:** (772) 879-8710
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (5), Chiropractic (3); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2015
- **Other identifiers:** Other 1992919922 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1639322712) · Data from the CMS NPPES public registry.