COASTAL CARE AND WELLNESS PLLC
NPI 1760367452
Physician Assistant in Port St Lucie, FL

NPI Status: Active since August 11, 2025

Contact Information

2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL
ZIP 34952
Phone: (561) 262-8785

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  • Organization
  • Physician Assistant

About COASTAL CARE AND WELLNESS PLLC

This page provides the complete NPI Profile along with additional information for Coastal Care And Wellness Pllc, a primary care provider established in Port St Lucie, Florida operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1760367452 assigned on August 2025. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Coastal Care And Wellness Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jennifer M Qadir Pa-c (Owner)

NPI
1760367452
Provider Name
COASTAL CARE AND WELLNESS PLLC
Entity Type
Organization
Location Address
2100 SE HILLMOOR DR STE 101 PORT ST LUCIE, FL 34952
Location Phone
(561) 262-8785
Mailing Address
612 SE FLAMINGO AVE STUART, FL 34996
Mailing Phone
(561) 262-8785
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2025
Last Update Date
10-16-2025
Code Navigator

A primary care provider (PCP) like Coastal Care And Wellness Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1133V00000XDietary & Nutritional Service Providers

Dietitian, Registered

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER M QADIR PA-C

Authorized Official Title
OWNER
Authorized Official Phone
(561) 688-9565

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760367452, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 3 → 6 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 6 + 6 + 1 + 4 + 4 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1760367452.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL 34952
Nurse Practitioner (Adult Health)
2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL 34952
Physician Assistant
2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL 34952
Physician Assistant
2100 SE HILLMOOR DR STE 101
PORT ST LUCIE, FL 34952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760367452, enumerated as an "organization" on August 11, 2025.

The provider is located at 2100 SE HILLMOOR DR STE 101 PORT ST LUCIE, FL 34952 and the phone number is (561) 262-8785.

Physician Assistant with taxonomy code 363A00000X.