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HEALTHCARE EXTRAORDINARE, LLC
NPI 1780273474
Nurse Practitioner in Orange Park, FL

Active since January 16, 2021
3154 HIGHLAND GROVE DR, ORANGE PARK, FL 32065(904) 613-6974(904) 375-2012 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 2, 2026, Jan 16, 2021 (2 updates tracked since 2021).

About Healthcare Extraordinare, Llc NPPES

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

HEALTHCARE EXTRAORDINARE, LLC (NPI 1780273474) is a healthcare organization registered as a nurse practitioner in Orange Park, Florida and active in the NPI registry since January 2021. The organization lists Tana Robinson, Dnp/aprn, as its authorized official.

NPPES Registry Identity

NPI1780273474
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHEALTHCARE EXTRAORDINARE, LLC
Location Address3154 HIGHLAND GROVE DROrange Park, FL 32065-6855
Mailing Address3154 Highland Grove DrOrange Park, FL 32065-6855 · (904) 613-6974 · Fax (904) 375-2012
Phone(904) 613-6974
Fax(904) 375-2012
Organization SubpartNo
Authorized OfficialTana RobinsonDnp/aprn · (904) 613-3974
Enumeration DateJanuary 16, 2021
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1780273474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3154 HIGHLAND GROVE DR, Orange Park, FL 32065
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Other Names 1

Doing Business AsHealthcare Extraordinare, Llc

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

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)

Healthcare Extraordinare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 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 IDO20210615003500Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthcare Extraordinare, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tana Robinson, ARNP
Nurse Practitioner
NPI 1992953863
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-3968
✔ PECOS✔ Accepts Medicare14 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 Healthcare Extraordinare, LLC's NPI number?

The NPI number for Healthcare Extraordinare, LLC is 1780273474. It was assigned to this organization in the NPPES registry on January 16, 2021.

Where is Healthcare Extraordinare, LLC located?

Healthcare Extraordinare, LLC is located at 3154 Highland Grove Dr, Orange Park, FL 32065. The listed phone number is (904) 613-6974.

What is Healthcare Extraordinare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Healthcare Extraordinare, LLC enrolled in Medicare?

Yes. Healthcare Extraordinare, LLC is registered in the Medicare PECOS enrollment system.

When is Healthcare Extraordinare, LLC'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 October 31, 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.

How many clinicians bill Medicare through Healthcare Extraordinare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Healthcare Extraordinare, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthcare Extraordinare, LLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.