BLUE SEA MENTAL HEALTH PRACTITIONERS LLC
NPI 1821798414
Nurse Practitioner - Psychiatric/Mental Health in Palm Coast, FL

Active since March 03, 2023
381 PALM COAST PKWY SW UNIT 2, PALM COAST, FL 32137(386) 232-8089 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 12, 2024, Mar 3, 2023 (2 updates tracked since 2023).

About Blue Sea Mental Health Practitioners Llc NPPES

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

BLUE SEA MENTAL HEALTH PRACTITIONERS LLC (NPI 1821798414) is a healthcare organization registered as a psychiatric/mental health in Palm Coast, Florida and active in the NPI registry since March 2023. The organization lists Cynthia Michelle Baxter, Owner, as its authorized official.

NPPES Registry Identity

NPI1821798414
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLUE SEA MENTAL HEALTH PRACTITIONERS LLC
Location Address381 PALM COAST PKWY SW UNIT 2Palm Coast, FL 32137-4782
Mailing Address381 Palm Coast Pkwy Sw Unit 2Palm Coast, FL 32137-4782 · (386) 232-8089
Organization SubpartNo
Authorized OfficialCynthia Michelle BaxterOwner · (386) 232-8089
Enumeration DateMarch 3, 2023
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1821798414 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
381 PALM COAST PKWY SW UNIT 2, Palm Coast, FL 32137

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)

Blue Sea Mental Health Practitioners Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blue Sea Mental Health Practitioners LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1033732276
381 PALM COAST PKWY SW UNIT 2
Palm Coast, FL 32137
(386) 232-8089
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1396117693
2090 COLUMBIANA RD
Vestavia Hills, AL 35216
(702) 918-6534
✔ PECOS423 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 Blue Sea Mental Health Practitioners LLC's NPI number?

The NPI number for Blue Sea Mental Health Practitioners LLC is 1821798414. It was assigned to this organization in the NPPES registry on March 3, 2023.

Where is Blue Sea Mental Health Practitioners LLC located?

Blue Sea Mental Health Practitioners LLC is located at 381 Palm Coast Pkwy SW Unit 2, Palm Coast, FL 32137. The listed phone number is (386) 232-8089.

What is Blue Sea Mental Health Practitioners LLC's specialty?

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

Is Blue Sea Mental Health Practitioners LLC enrolled in Medicare?

Yes. Blue Sea Mental Health Practitioners LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Sea Mental Health Practitioners LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Blue Sea Mental Health Practitioners 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Blue Sea Mental Health Practitioners LLC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.