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ST CROIX FAMILY MEDICINE, LLC
NPI 1841560059
Clinic/Center - Primary Care in Christiansted, VI

Active since January 04, 2012CLIA 48D1103987 · Waiver
4500 SUNNY ISLE, CHRISTIANSTED, VI 00820(340) 692-2600(340) 692-2602 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About St Croix Family Medicine, Llc NPPES

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

ST CROIX FAMILY MEDICINE, LLC (NPI 1841560059) is a healthcare organization registered as a primary care in Christiansted, Virgin Islands and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Gemaine Diane Owen, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1841560059
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameST CROIX FAMILY MEDICINE, LLC
Location Address4500 SUNNY ISLEChristiansted, VI 00820-5173
Mailing AddressRr 2 Box 10565, Suite 107, The Village MallKingshill, VI 00850-9604 · (340) 692-2600 · Fax (340) 692-2602
Phone(340) 692-2600
Fax(340) 692-2602
Organization SubpartNo
Authorized OfficialGemaine Diane OwenManager/member · (340) 692-2600
Enumeration DateJanuary 4, 2012
Last NPPES UpdateMay 16, 2019
✔ NPI 1841560059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VI · 2-14663-1L

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Croix Family Medicine, Llc 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 St Croix Family Medicine, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gemaine Owen, MD
Family Practice
NPI 1891819017
4500 SUNNY ISLE
Christiansted, VI 00820
(340) 692-2600
✔ PECOS✔ Accepts Medicare

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 48D1103987

St Croix Family Medicine LLC · Kingshill, VI
Active · expires May 22, 2028
CLIA Number48D1103987
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorGemaine Owen
Laboratory Phone(340) 692-2600
Laboratory LocationSt Croix Family Medicine LLC113 Barren Spot The Village Mall Suite 107, Kingshill, VI 00850
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 St Croix Family Medicine, LLC's NPI number?

The NPI number for St Croix Family Medicine, LLC is 1841560059. It was assigned to this organization in the NPPES registry on January 4, 2012.

Where is St Croix Family Medicine, LLC located?

St Croix Family Medicine, LLC is located at 4500 Sunny Isle, Christiansted, VI 00820. The listed phone number is (340) 692-2600.

What is St Croix Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is St Croix Family Medicine, LLC enrolled in Medicare?

Yes. St Croix Family Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Croix Family Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to St Croix Family Medicine, 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.

Does St Croix Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 48D1103987) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St Croix Family Medicine, LLC was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.