PACIFICA CARE PLLC
NPI 1669775037
Clinic/Center - Adult Mental Health in Jacksonville, FL
About Pacifica Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFICA CARE PLLC (NPI 1669775037) is a healthcare organization registered as an adult mental health in Jacksonville, Florida and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Peggy A Arcanz, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
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)
Pacifica Care Pllc 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
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Pacifica Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Jacksonville, FL 32225
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 10D2017795
Pacifica Care PLLC · Jacksonville, FLFrequently 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 Pacifica Care PLLC's NPI number?
The NPI number for Pacifica Care PLLC is 1669775037. It was assigned to this organization in the NPPES registry on December 7, 2010.
Where is Pacifica Care PLLC located?
Pacifica Care PLLC is located at 13121 Atlantic Blvd Suite 100, Jacksonville, FL 32225. The listed phone number is (904) 221-2232.
What is Pacifica Care PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Pacifica Care PLLC enrolled in Medicare?
Yes. Pacifica Care PLLC is registered in the Medicare PECOS enrollment system.
When is Pacifica Care PLLC'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 Pacifica Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Pacifica Care PLLC. 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 Psychiatry (4), Mental Health Counselor (2) and Clinical Social Worker (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pacifica Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2017795) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pacifica Care PLLC accept?
Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Pacifica Care PLLC 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 Pacifica Care PLLC was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Pacifica Care Pllc · NPI 1669775037
Adult Mental Health organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since December 7, 2010.
## Identity
- **NPI:** 1669775037 (Entity type: Organization)
- **Enumerated:** December 7, 2010
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Peggy Arcanz, ADMINISTRATOR
## Practice location
- **Address:** 13121 ATLANTIC BLVD, SUITE 100, Jacksonville, FL 32225
- **Phone:** (904) 221-2232 · **Fax:** (904) 221-2205
## 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:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (4), Mental Health Counselor (2), Clinical Social Worker (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2012
- **Other identifiers:** Medicare PIN U6812A (FL); Medicaid 292650400 (FL); Medicare UPIN Q02170
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1669775037) · Data from the CMS NPPES public registry.