Primecare Pl
NPI 1407038169ActiveOrganization· Internal Medicine, Cardiovascular Disease· St Augustine, FL
Internal Medicine, Cardiovascular Disease in St Augustine, Florida, registered in NPPES in December 2007. The authorized official on file is Robert C. Kelsey, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407038169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2007 |
| Last updated in NPPES | Nov 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | ME58662 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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