VITAL HEALTH CENTER LLC
NPI 1700697422
General Practice in Port St Lucie, FL
About Vital Health Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL HEALTH CENTER LLC (NPI 1700697422) is a healthcare organization registered as a general practice in Port St Lucie, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Nerlyn Jestine, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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 Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vital Health Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 10D2332392
Vital Health Center LLC · Port Saint Lucie, 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 Vital Health Center LLC's NPI number?
The NPI number for Vital Health Center LLC is 1700697422. It was assigned to this organization in the NPPES registry on January 14, 2025.
Where is Vital Health Center LLC located?
Vital Health Center LLC is located at 1479 SW Gatlin Blvd, Port St Lucie, FL 34953. The listed phone number is (561) 880-9880.
What is Vital Health Center LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Vital Health Center LLC enrolled in Medicare?
Yes. Vital Health Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vital Health Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vital Health Center 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.
Does Vital Health Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2332392) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vital Health Center LLC was last updated on March 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Vital Health Center Llc · NPI 1700697422
General Practice organization in Port St Lucie, Florida. Organization record, active in the CMS NPPES registry since January 14, 2025.
## Identity
- **NPI:** 1700697422 (Entity type: Organization)
- **Enumerated:** January 14, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Nerlyn Jestine, CEO
## Practice location
- **Address:** 1479 SW GATLIN BLVD, Port St Lucie, FL 34953
- **Phone:** (561) 880-9880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700697422) · Data from the CMS NPPES public registry.