Individual provider Active NPI

Renee Lok-Yee Wong Soucier, MD

  • Family Medicine Physician
  • Titusville, FL
National Provider Identifier
1972088631
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME149770 Issued in FL
Practice address
1785 Garden St
Titusville, FL 32796-3221
Phone
(321) 269-9612
Fax
(321) 269-8433
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME149770 FL Primary

Addresses

Primary practice location

1785 Garden St
Titusville, FL 32796-3221

Mailing address

1785 Garden St
Titusville, FL 32796-3221
Phone (321) 269-9612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220131001099 FL Practitioner - Family Practice 0840683660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mission Family Medicine LLCGroup PAC ID 2769869593, 5 clinicians

Practice addresses (Care Compare)

1785 Garden St
Titusville, FL 32796-3221
Phone (321) 269-9612

Hospital & facility affiliations

  • Parrish Home Health Home health agency, Titusville, FL, CCN 107488
  • Centerwell Home Health Home health agency, Melbourne, FL, CCN 107112
  • Nayar Health Care Melbourne LLC Home health agency, Titusville, FL, CCN 687309
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Space Coast Health Centers Inc CurrentSince Jan 10, 2022 Accepting new patients
Mission Family Medicine LLC Family Medicine CurrentSince Apr 7, 2025 Accepting new patients

Locations

951 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 268-6836

836 Century Medical Dr
Titusville, FL 32796
Phone (321) 383-8092

1785 Garden St
Titusville, FL 32796
Phone (321) 269-9612

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17832/brand/2/csg/41/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/24331/brand/1/csg/1/fhir/r4
  • Direct secure messaging: renee.soucier.1@24331.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1972088631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963221",
            "telephone_number": "321-269-9612",
            "fax_number": "321-269-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963221",
            "telephone_number": "321-269-9612",
            "fax_number": "321-269-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUCIER",
        "first_name": "RENEE",
        "middle_name": "LOK-YEE WONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME149770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

Verify at the official NPI Registry.