OPTUM INFUSION SERVICES 202, INC.
NPI 1700975802
Pharmacy - Home Infusion Therapy Pharmacy in Jacksonville, FL

Q: What is Optum Infusion Services 202, Inc.'s NPI number?

The NPI number for Optum Infusion Services 202, Inc. is 1700975802. It was assigned to this organization in the NPPES registry on October 12, 2006.

Q: What is Optum Infusion Services 202, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Active since October 12, 2006

9655 FLORIDA MINING BLVD W STE 411, JACKSONVILLE, FL 32257(866) 680-5744(844) 250-1991 Get Directions Write a Review

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

Record update history: May 7, 2026, Dec 4, 2024, Feb 7, 2024 and 7 more (10 updates tracked since 2016).

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About Optum Infusion Services 202, Inc. NPPES

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

OPTUM INFUSION SERVICES 202, INC. (NPI 1700975802) is a healthcare organization registered as a home infusion therapy pharmacy in Jacksonville, Florida and active in the NPI registry since October 2006. The organization lists Denise Mccabe, Secretary, as its authorized official.

NPPES Registry Identity

NPI1700975802

Entity TypeOrganization

Primary Taxonomy3336H0001X

Legal Business NameOPTUM INFUSION SERVICES 202, INC.

Location Address9655 FLORIDA MINING BLVD W STE 411Jacksonville, FL 32257-2041

Mailing Address1 Optum Cir Ste 100Eden Prairie, MN 55344-2956 · (800) 328-5979

Phone(866) 680-5744

Fax(844) 250-1991

Organization SubpartNo

Authorized OfficialDenise MccabeSecretary · (952) 935-1191

Enumeration DateOctober 12, 2006

Last NPPES UpdateMay 7, 202610 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1700975802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers

Taxonomy Code3336H0001X

Definition

Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X

Also ListedPharmacy · Managed Care Organization PharmacyTaxonomy 3336M0003X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

9655 FLORIDA MINING BLVD W STE 411, Jacksonville, FL 32257

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Optum Infusion Services 202, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date

StateFloridaEnrollment IDO20100930034688DME · PharmacyDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Optum Infusion Services 202, Inc carries, from the Medicare DMEPOS supplier directory.

Optum Infusion Services 202, Inc

DMEPOS supplier · Jacksonville, FL

✔

Accepts Medicare assignment

Optum Infusion Services 202, Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20408645

Medicare Participant SinceJanuary 1, 2021

Supplier Location9655 Florida Mining Blvd W Ste 411Jacksonville, FL 32257

Phone(904) 652-1990

Supplier Specialties

MSC With Respiratory Therapist Pharmacy

Medicare Product Categories

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

External Infusion Pumps and/or Supplies

An infusion pump is necessary to safely administer the drug

Implanted Infusion Pumps and/or Supplies

Implantable infusion pumps, catheters, refill kits

Enteral Nutrients

Enteral formula

Enteral Equipment and/or Supplies

Enteral infusion pumps, enteral nutrition supply kits

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Optum Infusion Services 202, Inc.'s NPI number?

The NPI number for Optum Infusion Services 202, Inc. is 1700975802. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Optum Infusion Services 202, Inc. located?

Optum Infusion Services 202, Inc. is located at 9655 Florida Mining Blvd W Ste 411, Jacksonville, FL 32257. The listed phone number is (866) 680-5744.

What is Optum Infusion Services 202, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

Is Optum Infusion Services 202, Inc. enrolled in Medicare?

Yes. Optum Infusion Services 202, Inc. is registered in the Medicare PECOS enrollment system.

When is Optum Infusion Services 202, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Florida, Pharmacy) is due for revalidation by November 30, 2026. 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.

Does Optum Infusion Services 202, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Optum Infusion Services 202, Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Optum Infusion Services 202, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Optum Infusion Services 202, Inc. 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 Optum Infusion Services 202, Inc. was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.