FORT PIERCE FAMILY CARE, INC.
NPI 1710271333
Clinic/Center - Primary Care in Fort Pierce, FL
About Fort Pierce Family Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT PIERCE FAMILY CARE, INC. (NPI 1710271333) is a healthcare organization registered as a primary care in Fort Pierce, Florida and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Jerry Jacobson, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Fort Pierce Family Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 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
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fort Pierce Family Care, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 10D2035315
Fort Pierce Family Care Inc · Fort Pierce, 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 Fort Pierce Family Care, Inc.'s NPI number?
The NPI number for Fort Pierce Family Care, Inc. is 1710271333. It was assigned to this organization in the NPPES registry on May 31, 2011.
Where is Fort Pierce Family Care, Inc. located?
Fort Pierce Family Care, Inc. is located at 3851 Virginia Avenue, Fort Pierce, FL 34981. The listed phone number is (954) 661-8151.
What is Fort Pierce Family Care, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Fort Pierce Family Care, Inc. enrolled in Medicare?
Yes. Fort Pierce Family Care, Inc. is registered in the Medicare PECOS enrollment system.
When is Fort Pierce Family Care, Inc.'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 March 31, 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 Fort Pierce Family Care, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Fort Pierce Family Care, Inc.. 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 Fort Pierce Family Care, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2035315) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Fort Pierce Family Care, Inc. was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Fort Pierce Family Care, Inc. · NPI 1710271333
Primary Care organization in Fort Pierce, Florida. Organization record, active in the CMS NPPES registry since May 31, 2011.
## Identity
- **NPI:** 1710271333 (Entity type: Organization)
- **Enumerated:** May 31, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Jerry Jacobson, PHYSICIAN
## Practice location
- **Address:** 3851 VIRGINIA AVENUE, Fort Pierce, FL 34981
- **Phone:** (954) 661-8151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710271333) · Data from the CMS NPPES public registry.