CAPSTONE HEALTHCARE,L.L.C
NPI 1639548621
Nurse Practitioner - Family in Daytona Beach, FL

Active since September 19, 2015
1001 GREAT OAKS DR, DAYTONA BEACH, FL 32117(386) 492-5635(386) 246-7418 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Capstone Healthcare,l.l.c NPPES

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

CAPSTONE HEALTHCARE,L.L.C (NPI 1639548621) is a healthcare organization registered as a family in Daytona Beach, Florida and active in the NPI registry since September 2015. The organization lists Roshanda K Ivey, Mgr, as its authorized official.

NPPES Registry Identity

NPI1639548621
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCAPSTONE HEALTHCARE,L.L.C
Location Address1001 GREAT OAKS DRDaytona Beach, FL 32117-3124
Mailing Address1001 Great Oaks DrDaytona Beach, FL 32117-3124 · (386) 492-5635 · Fax (386) 246-7418
Fax(386) 246-7418
Organization SubpartNo
Authorized OfficialRoshanda K IveyMgr · (386) 334-0095
Enumeration DateSeptember 19, 2015
Last NPPES UpdateApril 16, 2025
NPPES CertifiedApril 16, 2025
✔ NPI 1639548621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1001 GREAT OAKS DR, Daytona Beach, FL 32117

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Capstone Healthcare,l.l.c 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 Capstone Healthcare,l.L.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1417472242
1001 GREAT OAKS DR
Daytona Beach, FL 32117
(386) 334-0095
✔ 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 Capstone Healthcare,l.L.C's NPI number?

The NPI number for Capstone Healthcare,l.L.C is 1639548621. It was assigned to this organization in the NPPES registry on September 19, 2015.

Where is Capstone Healthcare,l.L.C located?

Capstone Healthcare,l.L.C is located at 1001 Great Oaks Dr, Daytona Beach, FL 32117. The listed phone number is (386) 492-5635.

What is Capstone Healthcare,l.L.C's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Capstone Healthcare,l.L.C enrolled in Medicare?

Yes. Capstone Healthcare,l.L.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capstone Healthcare,l.L.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Capstone Healthcare,l.L.C. 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 Capstone Healthcare,l.L.C was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.