Individual provider Active NPI

Lynelmarie Camacho, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1053166728
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11035102 Issued in FL
Practice address
5651 49TH St N
Saint Petersburg, FL 33709-2105
Phone
(910) 527-8575
NPI assigned
Apr 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11035102 FL Primary

Addresses

Primary practice location

5651 49TH St N
Saint Petersburg, FL 33709-2105

Mailing address

5651 49TH St N
Saint Petersburg, FL 33709-2105
Phone (910) 527-8575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129001338 FL Practitioner - Nurse Practitioner 9234668732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Nova Southeastern College of Osteo Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Management IncGroup PAC ID 0547350068, 15 clinicians

Practice addresses (Care Compare)

11946 Boyette Rd
Riverview, FL 33569-5601
Phone (813) 388-2948

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11035102FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management Inc CurrentSince Apr 21, 2025 Accepting new patients
Mark T Howell DO PA CurrentSince Jan 26, 2025 Accepting new patients
Advanced Pain Management Inc CurrentSince Apr 21, 2025 Accepting new patients

Locations

428 W Brandon Blvd
Brandon, FL 33511
Phone (813) 681-4444

325 Clyde Morris Blvd
Ste 400
Ormond Beach, FL 32174
Phone (386) 671-0600

780 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 671-0600

11946 Boyette Rd
Riverview, FL 33569

5651 49th St N
St Petersburg, FL 33709
Phone (727) 443-4299

27810 Summergate Blvd
Wesley Chapel, FL 33544
Phone (813) 534-6269

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1053166728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 49TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092105",
            "telephone_number": "910-527-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 49TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092105",
            "telephone_number": "910-527-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO",
        "first_name": "LYNELMARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11035102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.