How to Get Credentialed with First Coast Service Options (Jurisdiction N) in Florida

First Coast Service Options (FCSO), operating under MAC Jurisdiction N, processes all Medicare Part A/B claims for Florida. Florida is one of the highest-volume Medicare states nationally, with a large and growing beneficiary population, particularly in South Florida. Enroll via PECOS using CMS-855I (individual) or CMS-855B (group). CMS has designated multiple Florida counties (Miami-Dade, Broward, Palm Beach, and others) as high-risk geographic areas for virtually all provider types, requiring enhanced screening including fingerprint-based criminal background checks, unannounced site visits, and application fees for high-risk categories. Florida providers should anticipate potentially longer processing times due to volume. A valid NPI is required, and revalidation is every 5 years. Initial enrollment takes 60–90 days, though high-risk areas may experience delays.