Organization Active NPI

Pine Ridge Health and Wellness PLLC

  • Internal Medicine Physician
  • Beverly Hills, FL
National Provider Identifier
1952231060
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PINE RIDGE HEALTH AND WELLNESS PLLC
Practice address
4534 W Ranger St
Beverly Hills, FL 34465-5614
Phone
(352) 234-6255
NPI assigned
May 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Mrs. Robyn M Staubach, ACNP-CNPI 1346297744
Title
Managing Member
Phone
(413) 281-6051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4534 W Ranger St
Beverly Hills, FL 34465-5614

Mailing address

531 N Citrus Ave # 106
Crystal River, FL 34428-4016
Phone (352) 234-6255

National Provider Directory

National Provider Directory

Locations

531 N Citrus Ave
#106
Crystal River, FL 34428

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1952231060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 N CITRUS AVE # 106",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344284016",
            "telephone_number": "352-234-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 W RANGER ST",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344655614",
            "telephone_number": "352-234-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "STAUBACH",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "413-281-6051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACNP-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.