NORDQUIST FAMILY MEDICAL CENTER MD PA
NPI 1770867269
Family Medicine in Clermont, FL

Active since October 04, 2011
1925 DON WICKHAM DR, CLERMONT, FL 34711(352) 638-7900(877) 444-2394 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nordquist Family Medical Center Md Pa NPPES

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

NORDQUIST FAMILY MEDICAL CENTER MD PA (NPI 1770867269) is a healthcare organization registered as a family medicine in Clermont, Florida and active in the NPI registry since October 2011. The organization lists Clay E Nordquist, President, as its authorized official.

NPPES Registry Identity

NPI1770867269
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORDQUIST FAMILY MEDICAL CENTER MD PA
Location Address1925 DON WICKHAM DRClermont, FL 34711-1915
Mailing Address1925 Don Wickham DrClermont, FL 34711-1915 · (352) 638-7900 · Fax (877) 444-2394
Fax(877) 444-2394
Organization SubpartNo
Authorized OfficialClay E NordquistPresident · (352) 638-7900
Enumeration DateOctober 4, 2011
✔ NPI 1770867269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME103291
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1925 DON WICKHAM DR, Clermont, FL 34711

Other Identifiers 1

OtherME103291FL · Fl Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Nordquist Family Medical Center Md Pa 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.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20111121000926Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Nordquist Family Medical Center MD PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1952546681
2470 E HIGHWAY 50
Clermont, FL 34711
(352) 404-9940
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1467161984
3113 LAWTON RD
Orlando, FL 32803
(407) 894-3241
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nordquist Family Medical Center MD PA's NPI number?

The NPI number for Nordquist Family Medical Center MD PA is 1770867269. It was assigned to this organization in the NPPES registry on October 4, 2011.

Where is Nordquist Family Medical Center MD PA located?

Nordquist Family Medical Center MD PA is located at 1925 Don Wickham Dr, Clermont, FL 34711. The listed phone number is (352) 638-7900.

What is Nordquist Family Medical Center MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nordquist Family Medical Center MD PA enrolled in Medicare?

Yes. Nordquist Family Medical Center MD PA is registered in the Medicare PECOS enrollment system.

When is Nordquist Family Medical Center MD PA'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 Nordquist Family Medical Center MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Nordquist Family Medical Center MD PA, in Family Practice and Nurse Practitioner. 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.

What insurance does Nordquist Family Medical Center MD PA accept?

Health plans from AvMed list Nordquist Family Medical Center MD PA 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 Nordquist Family Medical Center MD PA was last updated on October 4, 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.