Enrollment FAQs

You can submit a request for a copy of your enrollment certification by sending a request for the information on company letterhead to First Coast’s provider enrollment department. The request needs to be signed by either the authorized official (AO), delegated official (DO) or the practitioner as it is listed on your entity’s enrollment record.

Mail your request to:
First Coast JN Provider Enrollment
P.O. Box 3409
Mechanicsburg, PA 17055-1849