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BOCA GRANDE HEALTH CLINIC
NPI 1972683910
Family Medicine in Boca Grande, FL

Active since October 16, 2006CLIA 10D0294019 · Waiver
280 PARK AVENUE, BOCA GRANDE, FL 33921(941) 964-2276(941) 964-0158 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2026, Jun 30, 2021 (2 updates tracked since 2021).

About Boca Grande Health Clinic NPPES

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

BOCA GRANDE HEALTH CLINIC (NPI 1972683910) is a healthcare organization registered as a family medicine in Boca Grande, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 17, 2028 and lists Jonna R Foos, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1972683910
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOCA GRANDE HEALTH CLINIC
Location Address280 PARK AVENUEBoca Grande, FL 33921
Mailing AddressPo Box 517Boca Grande, FL 33921-0517 · (941) 964-2276 · Fax (941) 964-0158
Phone(941) 964-2276
Fax(941) 964-0158
Organization SubpartNo
Authorized OfficialJonna R FoosDirector Of Operations · (941) 964-2276
Enumeration DateOctober 16, 2006
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1972683910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
280 PARK AVENUE, Boca Grande, FL 33921
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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)

Boca Grande Health Clinic 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 Boca Grande Health Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Bret Kueber, M.D.
Internal Medicine
NPI 1922078062
280 PARK AVE
Boca Grande, FL 33921
(941) 964-2276
✔ PECOSSame address
Raymond James, DO
Emergency Medicine
NPI 1285793232
21298 OLEAN BLVD
Port Charlotte, FL 33952
(941) 627-6130
✔ PECOS19 mi

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 10D0294019

Boca Grande Health Clinic · Boca Grande, FL
Active · expires May 17, 2028
CLIA Number10D0294019
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorDr. Raymond A. James
Laboratory Phone(941) 964-2276
Laboratory LocationBoca Grande Health Clinic280 Park Ave, Boca Grande, FL 33921
CLIA data matches this NPI record on: Address 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 Boca Grande Health Clinic's NPI number?

The NPI number for Boca Grande Health Clinic is 1972683910. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Boca Grande Health Clinic located?

Boca Grande Health Clinic is located at 280 Park Avenue, Boca Grande, FL 33921. The listed phone number is (941) 964-2276.

What is Boca Grande Health Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Boca Grande Health Clinic enrolled in Medicare?

Yes. Boca Grande Health Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boca Grande Health Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Boca Grande Health Clinic, in Emergency Medicine and Internal Medicine. 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.

Does Boca Grande Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0294019) is associated with this NPI, valid through May 17, 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 Boca Grande Health Clinic was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.