VITAL HEALTH CONCIERGE LLC
NPI 1669245064
Clinic/Center - Primary Care in Brandon, FL

Active since November 07, 2023
325 S PARSONS AVE, BRANDON, FL 33511(813) 397-6779 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vital Health Concierge Llc NPPES

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

VITAL HEALTH CONCIERGE LLC (NPI 1669245064) is a healthcare organization registered as a primary care in Brandon, Florida and active in the NPI registry since November 2023. The organization lists Jenna Madhavan, Co-owner/aprn, as its authorized official.

NPPES Registry Identity

NPI1669245064
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVITAL HEALTH CONCIERGE LLC
Location Address325 S PARSONS AVEBrandon, FL 33511-5228
Mailing Address15418 Fire Rock PlRuskin, FL 33573-0196 · (813) 545-0133
Organization SubpartNo
Authorized OfficialJenna MadhavanCo-owner/aprn · (813) 545-0133
Enumeration DateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1669245064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedHome InfusionTaxonomy 251F00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
325 S PARSONS AVE, Brandon, FL 33511

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vital Health Concierge Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vital Health Concierge LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1184127888
119 OAKFIELD DR
Brandon, FL 33511
(813) 681-5551
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1306419098
15418 FIRE ROCK PL
Ruskin, FL 33573
(813) 498-9937
✔ PECOS✔ Accepts Medicare14 mi

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 Vital Health Concierge LLC's NPI number?

The NPI number for Vital Health Concierge LLC is 1669245064. It was assigned to this organization in the NPPES registry on November 7, 2023.

Where is Vital Health Concierge LLC located?

Vital Health Concierge LLC is located at 325 S Parsons Ave, Brandon, FL 33511. The listed phone number is (813) 397-6779.

What is Vital Health Concierge LLC's specialty?

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

Is Vital Health Concierge LLC enrolled in Medicare?

Yes. Vital Health Concierge LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vital Health Concierge LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vital Health Concierge 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. Of these, 1 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 Vital Health Concierge LLC was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.