FLORIDA STATE UNIVERSITY
NPI 1902003536
Nurse Practitioner - Primary Care in Tallahassee, FL
About Florida State University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FLORIDA STATE UNIVERSITY (NPI 1902003536), doing business as Fsu Healthy Lifestyle Medicine Clinic, is a healthcare organization registered as a primary care in Tallahassee, Florida and active in the NPI registry since June 2007. The organization lists Jean Wang, Dean College Of Nursing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Florida State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Florida State University, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
Tallahassee, FL 32306
Tallahassee, FL 32306
Tallahassee, FL 32308
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 Florida State University's NPI number?
The NPI number for Florida State University is 1902003536. It was assigned to this organization in the NPPES registry on June 28, 2007. The provider is doing business as FSU Healthy Lifestyle Medicine Clinic.
Where is Florida State University located?
Florida State University is located at 1630 Riggins Rd, Tallahassee, FL 32308. The listed phone number is (850) 878-4434.
What is Florida State University's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Florida State University enrolled in Medicare?
Yes. Florida State University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Florida State University?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Florida State University. 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. The largest specialties are Nurse Practitioner (8), Qualified Speech Language Pathologist (4) and Qualified Audiologist (3). Of these, 3 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Florida State University accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida State University 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 Florida State University was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Florida State University · NPI 1902003536
Primary Care organization in Tallahassee, Florida. Organization record, active in the CMS NPPES registry since June 28, 2007.
## Identity
- **NPI:** 1902003536 (Entity type: Organization)
- **Enumerated:** June 28, 2007
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Also known as:** FSU Healthy Lifestyle Medicine Clinic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jean Wang, DEAN COLLEGE OF NURSING
## Practice location
- **Address:** 1630 RIGGINS RD, Tallahassee, FL 32308-5316
- **Phone:** (850) 878-4434 · **Fax:** (850) 878-4423
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Qualified Speech Language Pathologist (4), Qualified Audiologist (3); 3 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1902003536) · Data from the CMS NPPES public registry.