St Francis Primary Care Clinic – Multi-Specialty Clinic/Center, NPI 1205571015

St Francis Primary Care Clinic is a healthcare provider. based in Leesburg, Florida. specializing in Multi-Specialty Clinic/Center. The NPI Number for St Francis Primary Care Clinic is 1205571015

Main info

Organization
Name
St Francis Primary Care Clinic
NPI
1205571015
Phone
(352) 314-6589
Address
PO BOX 491500
Authorized Official
MR. DAVID P WAGNER CHIEF FINANCIAL OFFICER
Enumeration Date
5 May 2022
Last Update Date
3 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for St Francis Primary Care Clinic

  • PO BOX 491500

    LEESBURG, FL 347491500

    Phone: (352) 314-6589

    Type: Mailing

  • 620 S LAKE ST STE 2

    LEESBURG, FL 347486059

    Phone: (352) 314-6589

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20220627002279OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34749)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to St Francis Primary Care Clinic?
NPI 1205571015 is assigned to St Francis Primary Care Clinic under the national enumeration system.
Does this profile mean St Francis Primary Care Clinic is currently active?
Yes — St Francis Primary Care Clinic appears active in the national provider directory.
What does St Francis Primary Care Clinic treat or focus on?
Patients typically see St Francis Primary Care Clinic under the specialty Multi-Specialty Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place St Francis Primary Care Clinic?
The snapshot lists Leesburg, Florida for St Francis Primary Care Clinic; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

The Pharmacist

Community/Retail Pharmacy
Creek Road, Leesburg, Lake County, Florida, 34788, United States
NPI: 1538101167

ADVANCED MEDICAL SOLUTIONS

Multi-Specialty Clinic/Center
618, Scenic Street, Leesburg, Lake County, Florida, 34748, United States
NPI: 1992734982
1650 SAND LAKE RD STE 230
NPI: 1831420033

ADVANCED WELLNESS & ORTHOPEDIC CENTER

Sports Medicine (Orthopaedic Surgery) Physician
PO BOX 491040
NPI: 1295124329

NOLO HEALTH ORGANIZATION INC

Internal Medicine Physician
1655 E HIGHWAY 50 STE 302C
NPI: 1235877713

Lake County Sheriff Dept

Multi-Specialty Clinic/Center
5500 MARYLAND WAY
NPI: 1396419594

Lake Co Schools - Leesburg

Multi-Specialty Clinic/Center
1908 CENTER ST
NPI: 1700550902

AMERICAN VITALITY MEDICAL GROUP, LLC.

Multi-Specialty Clinic/Center
1100 LAKE DORA DR
NPI: 1649026428