SUNRISE FAMILY PRACTICE LLC
NPI 1669180881
Nurse Practitioner - Family in Okeechobee, FL

Active since November 07, 2022CLIA 10D0704413 · Waiver
255 NE 19TH DR, OKEECHOBEE, FL 34972(863) 467-8398(863) 467-9850 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sunrise Family Practice Llc NPPES

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

SUNRISE FAMILY PRACTICE LLC (NPI 1669180881) is a healthcare organization registered as a family in Okeechobee, Florida and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Sunita Dhillon, Nurse Practioner, as its authorized official.

NPPES Registry Identity

NPI1669180881
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSUNRISE FAMILY PRACTICE LLC
Location Address255 NE 19TH DROkeechobee, FL 34972-1933
Mailing Address255 Ne 19th DrOkeechobee, FL 34972-1933 · (863) 467-8398 · Fax (863) 467-9850
Fax(863) 467-9850
Organization SubpartNo
Authorized OfficialSunita DhillonNurse Practioner · (863) 467-8398
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1669180881 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
255 NE 19TH DR, Okeechobee, FL 34972

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

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)

Sunrise Family Practice 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 Sunrise Family Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1205266442
255 NE 19TH DR
Okeechobee, FL 34972
(863) 467-8398
✔ 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.

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 10D0704413

Sunrise Family Practice LLC · Okeechobee, FL
Active · expires Oct 6, 2027
CLIA Number10D0704413
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorSunita Dhillon
Laboratory Phone(863) 467-8398
Laboratory LocationSunrise Family Practice LLC255 Northeast 19th Drive, Okeechobee, FL 34972
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Sunrise Family Practice LLC's NPI number?

The NPI number for Sunrise Family Practice LLC is 1669180881. It was assigned to this organization in the NPPES registry on November 7, 2022.

Where is Sunrise Family Practice LLC located?

Sunrise Family Practice LLC is located at 255 NE 19th Dr, Okeechobee, FL 34972. The listed phone number is (863) 467-8398.

What is Sunrise Family Practice LLC's specialty?

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

Is Sunrise Family Practice LLC enrolled in Medicare?

Yes. Sunrise Family Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sunrise Family Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sunrise Family Practice 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.

Does Sunrise Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0704413) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sunrise Family Practice LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sunrise Family Practice LLC 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 Sunrise Family Practice LLC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.