Partners in Community Care, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PARTNERS IN COMMUNITY CARE, LLC

Doing business as

BrevardPICC

Practice address

4154 San Ysidro Way
Rockledge, FL 32955-5336

Phone

(321) 241-6244

Fax

(833) 301-0862

NPI assigned

Mar 20, 2020

Last updated

Mar 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelly Alise Wey, RN

Title

Owner/Operator

Phone

(321) 243-7060

Specialties & licenses 1

Addresses

Other names 1

• BrevardPICC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Bowman, PTA, DC

  • Chiropractor
  • Rockledge, FL
  • NPI 1043749799
  Medicare reassignment NPD
• Simone King Paul, ARNP-BC, WCC

  • Family Nurse Practitioner
  • Rockledge, FL
  • NPI 1972054864
  Medicare reassignment NPD
• Miguel Mateos-Mora, M.D.,

  • Infectious Disease Physician
  • Melbourne, FL
  • NPI 1992790851
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1700412814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 SAN YSIDRO WAY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555336",
            "telephone_number": "321-241-6244",
            "fax_number": "833-301-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 SAN YSIDRO WAY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555336",
            "telephone_number": "321-241-6244",
            "fax_number": "833-301-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN COMMUNITY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "WEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ALISE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "321-243-7060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrevardPICC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BrevardPICC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Pantano, CRNA
• Brittany Paquette
• Judith Parker
• Staci L. Parker, M.A,
• Camila Parodi
• Parwati Maddali MD Professional Association
• Jennifer Ann Passarelli, M.A. CCC/SLP
• Pastore-Tran Eyecare, Inc.
• Kate M Patarozzi, LCSW
• Nitin Patel, PHARM D

• Primary Care Clinic/Center in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.