MEDICARE: ADVANCED CARE PEDIATRICS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM3000X	Medically Fragile Infants and Children Day Care

General Provider Information

NPI Number	:	1386351633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED CARE PEDIATRICS, INC.

Provider Business Mailing Address
First Line	:	7300 STATE HIGHWAY 121 STE 700
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-2414
Country	:	US
Telephone Number	:	903-532-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3451 SW DARWIN BLVD
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-3873
Country	:	US
Telephone Number	:	772-408-9588
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JESSICA LEANN RIGGS
Credential	:
Telephone Number	:	903-532-1400

Provider Enumeration Date	:	11/04/2022
Last Update Date	:	05/11/2026

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