Active NPI
Ketty Maurice, DO
- Family Medicine Physician
- Cape Coral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS8053
- Practice address
- 636 Del Prado Blvd
Cape Coral, FL 33990-2695 - Phone
- (239) 424-3123
- Fax
- (239) 424-4041
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO.2613 | AL | |
| Family Medicine Physician | 207Q00000X | 04090 | KY | |
| Adult Medicine Physician | 207QA0505X | 2022-02636 | NC | |
| Family Medicine Physician | 207Q00000X | OS8053 | FL | Primary |
Addresses
Primary practice location
636 Del Prado Blvd
Cape Coral, FL 33990-2695
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 424-1479
Other practice location 1
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5680
Other practice location 2
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26036830 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, KY, GU, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000
Hospital & facility affiliations
- Cape Fear Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.2613 | AL | MD | Family Medicine Physician |
| 2022-02636 | NC | MD | Adult Medicine Physician |
| 2613 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coral Springs Physician Services, LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cogent Healthcare of Kentucky, PSC | Family Medicine | Current | Accepting new patients |
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cape Coral Hospitalists Inc | Current | Accepting new patients | |
| Cogent Healthcare of North Carolina, PC | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Indiana, LLC | Current | Accepting new patients | |
| Hospital Medicine Services of Ky, LLC | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Baptist Health Deaconess Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Osler Medical Inc | Past | Accepting new patients | |
| Community Care Resources, Inc. | Past | Accepting new patients | |
| Oscar H Jerkins, MD, PA | Family Medicine | Past | Accepting new patients |
Locations (25 of 26)
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
13681 Doctors Way
Rm 18027
Fort Myers, FL 33912
Phone (239) 210-4247
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240
910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000
900 Hospital Dr
Fl 5
Madisonville, KY 42431
Phone (270) 825-5100
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
800 Hospital Dr
Fl 2
Madisonville, KY 42431
Phone (270) 326-3900
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
Interoperability endpoints
- ketty.maurice.1@22755.direct.athenahealth.com
- ryi9201@yourcarecommunity.org
- kmaurice106762@capefearvalley.direct-ci.com
- kmaurice549590@direct.froedtert.com
Organizations & group practices 21
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.
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1336209790
-
- Hospitalist Physician
- Coral Springs, FL
- NPI 1134673767
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
-
- Internal Medicine Physician
- Lexington, KY
- NPI 1053362293
Family Medicine
-
- Internal Medicine Physician
- Rocky Mount, NC
- NPI 1548207483
Family Medicine
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Hospitalist Physician
- Bowling Green, KY
- NPI 1215634373
-
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1366100364
-
- Hospitalist Physician
- Tampa, FL
- NPI 1457511164
-
- Internal Medicine Physician
- Madisonville, KY
- NPI 1437730942
Family Medicine
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1134162597
Hospital
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1336131010
Hospital
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1386649374
Hospital
-
- Rural Health Clinic/Center
- Raeford, NC
- NPI 1447255328
Hospital
-
- Obstetrics & Gynecology Physician
- Fayetteville, NC
- NPI 1497757785
Hospital
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1588668396
Hospital
-
- General Acute Care Hospital
- Fayetteville, NC
- NPI 1639172869
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Fayetteville, NC
- NPI 1639173222
Hospital
-
- Rehabilitation Hospital Unit
- Fayetteville, NC
- NPI 1821091851
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1972507440
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1053368043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-424-1479",
"fax_number": "239-424-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 DEL PRADO BLVD",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902695",
"telephone_number": "239-424-3123",
"fax_number": "239-424-4041"
}
],
"practiceLocations": [
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-5680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Medical Pavilion Dr",
"address_purpose": "LOCATION",
"city": "Raeford",
"state": "NC",
"postal_code": "283769111",
"country_code": "US",
"telephone_number": "910-904-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAURICE",
"first_name": "KETTY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO.2613",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "04090",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NC",
"license": "2022-02636",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS8053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26036830",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.