Premium Primary Care & Walk-In Clinic Inc
NPI 1700654167 · Family Medicine Physician · Port St Lucie, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premium Primary Care & Walk-In Clinic Inc is a Family Medicine Physician organization in Port St Lucie, FL (NPI 1700654167).
Provider details
- NPI number
- 1700654167
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patrick Vergel De Dios, Aprn(772) 446-0950
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-15
- Last updated
- 2023-12-15
- Certified
- 2023-12-15
Frequently asked questions
- What is Premium Primary Care & Walk-In Clinic Inc's NPI number?
- Premium Primary Care & Walk-In Clinic Inc's National Provider Identifier (NPI) is 1700654167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Primary Care & Walk-In Clinic Inc?
- Premium Primary Care & Walk-In Clinic Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Premium Primary Care & Walk-In Clinic Inc located?
- Premium Primary Care & Walk-In Clinic Inc's practice location on file with NPPES is 1801 Se Hillmoor Dr Unit A-107p, Port St Lucie, FL 34952-7553.
- What is Premium Primary Care & Walk-In Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Premium Primary Care & Walk-In Clinic Inc is (772) 446-0950.
- Does Premium Primary Care & Walk-In Clinic Inc accept Medicare?
- Premium Primary Care & Walk-In Clinic Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premium Primary Care & Walk-In Clinic Inc?
- The authorized official listed on Premium Primary Care & Walk-In Clinic Inc's NPPES record is Patrick Vergel De Dios, Aprn. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Primary Care & Walk-In Clinic Inc's NPI active?
- Yes — Premium Primary Care & Walk-In Clinic Inc's NPI (1700654167) is active in the NPPES registry as of the last update on 2023-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.