PORT ST JOHN CLINIC
NPI 1962857417
Clinic/Center - Federally Qualified Health Center (FQHC) in Cocoa, FL
About Port St John Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORT ST JOHN CLINIC (NPI 1962857417) is a healthcare organization registered as a federally qualified health center (fqhc) in Cocoa, Florida and active in the NPI registry since May 2016. The organization lists Angela Craig, Business Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Port St John Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
71Medicare enrollment records show 71 clinicians reassign Medicare billing to Port St John Clinic, which bills Medicare for the services they deliver. Of these, 42 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 71Source: 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 Brevard Health Alliance Inc's NPI number?
The NPI number for Brevard Health Alliance Inc is 1962857417. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider is also known as Port St John Clinic.
Where is Brevard Health Alliance Inc located?
Brevard Health Alliance Inc is located at 7227 N Us Highway 1, Cocoa, FL 32927. The listed phone number is (321) 877-2740.
What is Brevard Health Alliance Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Brevard Health Alliance Inc enrolled in Medicare?
Yes. Brevard Health Alliance Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brevard Health Alliance Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 12 Medicare specialties reassign their Medicare billing to Brevard Health Alliance Inc. 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 (25), Certified Nurse Midwife (CNM) (10) and Clinical Social Worker (8). Of these, 42 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Brevard Health Alliance Inc accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Brevard Health Alliance Inc 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 Brevard Health Alliance Inc was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Port St John Clinic · NPI 1962857417
Federally Qualified Health Center (FQHC) organization in Cocoa, Florida. Organization record, active in the CMS NPPES registry since May 3, 2016.
## Identity
- **NPI:** 1962857417 (Entity type: Organization)
- **Enumerated:** May 3, 2016
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Brevard Health Alliance Inc
- **Organization subpart:** No
- **Authorized official:** Angela Craig, BUSINESS OFFICE MANAGER
## Practice location
- **Address:** 7227 N US HIGHWAY 1, Cocoa, FL 32927-5020
- **Phone:** (321) 877-2740
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 71 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (25), Certified Nurse Midwife (CNM) (10), Clinical Social Worker (8); 42 practice within 10 miles; [full list](https://npiprofile.com/npi/1962857417/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1962857417) · Data from the CMS NPPES public registry.