PALMETTO COMPREHENSIVE HEALTH CENTER
NPI 1811886922
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since July 02, 2025
11261 SW 164TH TER, MIAMI, FL 33157(786) 543-3081 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Palmetto Comprehensive Health Center NPPES

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

PALMETTO COMPREHENSIVE HEALTH CENTER (NPI 1811886922) is a healthcare organization registered as a psychiatric/mental health in Miami, Florida and active in the NPI registry since July 2025. The organization lists Ludgy Renaud Suplice, Owner, as its authorized official.

NPPES Registry Identity

NPI1811886922
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePALMETTO COMPREHENSIVE HEALTH CENTER
Location Address11261 SW 164TH TERMiami, FL 33157-2717
Mailing Address11261 Sw 164th TerMiami, FL 33157-2717 · (786) 543-3081
Organization SubpartNo
Authorized OfficialLudgy Renaud SupliceOwner · (786) 543-3081
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1811886922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
11261 SW 164TH TER, Miami, FL 33157

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palmetto Comprehensive Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Palmetto Comprehensive Health Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1841772506
11261 SW 164TH TER
Miami, FL 33157
(786) 543-3081
✔ PECOS✔ Accepts MedicareSame address

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 Palmetto Comprehensive Health Center's NPI number?

The NPI number for Palmetto Comprehensive Health Center is 1811886922. It was assigned to this organization in the NPPES registry on July 2, 2025.

Where is Palmetto Comprehensive Health Center located?

Palmetto Comprehensive Health Center is located at 11261 SW 164th Ter, Miami, FL 33157. The listed phone number is (786) 543-3081.

What is Palmetto Comprehensive Health Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Palmetto Comprehensive Health Center enrolled in Medicare?

Yes. Palmetto Comprehensive Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palmetto Comprehensive Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Palmetto Comprehensive Health Center. 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 Palmetto Comprehensive Health Center was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.