INTEGRA CONCIERGE MEDICINE
NPI 1992673305
Family Medicine in Jacksonville, FL
About Integra Concierge Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRA CONCIERGE MEDICINE (NPI 1992673305) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since October 2025. The organization lists Paul Busse, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integra Concierge Medicine 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 Integra Concierge Medicine, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Integra Concierge Medicine's NPI number?
The NPI number for Integra Concierge Medicine is 1992673305. It was assigned to this organization in the NPPES registry on October 27, 2025.
Where is Integra Concierge Medicine located?
Integra Concierge Medicine is located at 10175 Fortune Pkwy Unit 204, Jacksonville, FL 32256. The listed phone number is (904) 619-3609.
What is Integra Concierge Medicine's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Integra Concierge Medicine enrolled in Medicare?
Yes. Integra Concierge Medicine is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integra Concierge Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Integra Concierge 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Integra Concierge Medicine was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.
# Integra Concierge Medicine · NPI 1992673305
Family Medicine organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since October 27, 2025.
## Identity
- **NPI:** 1992673305 (Entity type: Organization)
- **Enumerated:** October 27, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Paul Busse, CEO
## Practice location
- **Address:** 10175 FORTUNE PKWY UNIT 204, Jacksonville, FL 32256-6748
- **Phone:** (904) 619-3609 · **Fax:** (888) 704-8617
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1992673305) · Data from the CMS NPPES public registry.