PRN MEDICAL CARE, LLC
NPI 1992682348
Nurse Practitioner - Family in Jacksonville, FL
About Prn Medical Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRN MEDICAL CARE, LLC (NPI 1992682348) is a healthcare organization registered as a family in Jacksonville, Florida and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through August 20, 2028 and lists Olivia Johnson, Owner/member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prn Medical Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Prn Medical Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 10D2349422
Prn Medical Care LLC · Jacksonville, FLFrequently 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 Prn Medical Care, LLC's NPI number?
The NPI number for Prn Medical Care, LLC is 1992682348. It was assigned to this organization in the NPPES registry on August 18, 2025.
Where is Prn Medical Care, LLC located?
Prn Medical Care, LLC is located at 12327 Richards Glen Ct, Jacksonville, FL 32258. The listed phone number is (904) 790-3824.
What is Prn Medical Care, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Prn Medical Care, LLC enrolled in Medicare?
Yes. Prn Medical Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prn Medical Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Prn Medical Care, 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prn Medical Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2349422) is associated with this NPI, valid through August 20, 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 Prn Medical Care, LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Prn Medical Care, Llc · NPI 1992682348
Family organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since August 18, 2025.
## Identity
- **NPI:** 1992682348 (Entity type: Organization)
- **Enumerated:** August 18, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Olivia Johnson, OWNER/MEMBER
## Practice location
- **Address:** 12327 RICHARDS GLEN CT, Jacksonville, FL 32258-3495
- **Phone:** (904) 790-3824
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1992682348) · Data from the CMS NPPES public registry.