MYRIAD HEALTHCARE LLC
NPI 1639884539
Clinic/Center - Primary Care in Bradenton, FL

Active since January 16, 2023
5460 63RD ST E UNIT B, BRADENTON, FL 34203(941) 202-2305(941) 220-4688 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2023, Feb 24, 2023, Jan 16, 2023 (3 updates tracked since 2023).

About Myriad Healthcare Llc NPPES

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

MYRIAD HEALTHCARE LLC (NPI 1639884539) is a healthcare organization registered as a primary care in Bradenton, Florida and active in the NPI registry since January 2023. The organization lists Melissa Allen, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1639884539
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMYRIAD HEALTHCARE LLC
Location Address5460 63RD ST E UNIT BBradenton, FL 34203-7808
Mailing Address5460 63rd St E Unit BBradenton, FL 34203-7808 · (217) 202-9606 · Fax (941) 220-4688
Fax(941) 220-4688
Organization SubpartNo
Authorized OfficialMelissa AllenNurse Practitioner · (941) 202-2305
Enumeration DateJanuary 16, 2023
Last NPPES UpdateJune 21, 20233 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1639884539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5460 63RD ST E UNIT B, Bradenton, FL 34203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myriad Healthcare Llc 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 Myriad Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1710433537
5460 63RD ST E UNIT B
Bradenton, FL 34203
(941) 202-2305
✔ 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 Myriad Healthcare LLC's NPI number?

The NPI number for Myriad Healthcare LLC is 1639884539. It was assigned to this organization in the NPPES registry on January 16, 2023.

Where is Myriad Healthcare LLC located?

Myriad Healthcare LLC is located at 5460 63rd St E Unit B, Bradenton, FL 34203. The listed phone number is (941) 202-2305.

What is Myriad Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Myriad Healthcare LLC enrolled in Medicare?

Yes. Myriad Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Myriad Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Myriad Healthcare 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Myriad Healthcare LLC was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.