Individual provider Active NPI

Rachelle Mae Peklinsky, FNP-BC

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1063821064
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019159 Issued in FL
Practice address
5771 Roosevelt Blvd
Clearwater, FL 33760-3407
Phone
(727) 467-7423
NPI assigned
Aug 5, 2014
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 79102 WV
Family Nurse Practitioner 363LF0000X APRN11019159 FL Primary

Addresses

Primary practice location

5771 Roosevelt Blvd
Clearwater, FL 33760-3407

Mailing address

3016 Tall Pine Dr
Safety Harbor, FL 34695-5231
Phone (724) 601-8024

Other identifiers 2

IdentifierTypeStateIssuer
02045680000MedicaidWV
CH6378OtherWVRAILROAD MEDICARE

Other names 1

  • Rachelle Carello Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141202001752 WV Practitioner - Nurse Practitioner 5294057204
I20220826000101 FL Practitioner - Nurse Practitioner 5294057204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empath Community Health LLCGroup PAC ID 8527368877, 10 clinicians

Practice addresses (Care Compare)

6770 102ND Ave N
Pinellas Park, FL 33782-2909
Phone (727) 523-2460

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Empath Community Health LLC CurrentSince Aug 22, 2022 Accepting new patients
Empath Hospice, LLC PastSince Mar 12, 2024 Accepting new patients

Locations

5771 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 523-2480

5771 Roosevelt Blvd
Ste 610
Clearwater, FL 33760
Phone (727) 523-2160

6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500

6770 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 523-2460

Interoperability endpoints

  • Direct secure messaging: rpeklinsky394006@orlandohealth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1063821064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 TALL PINE DR",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955231",
            "telephone_number": "724-601-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 ROOSEVELT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603407",
            "telephone_number": "727-467-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKLINSKY",
        "first_name": "RACHELLE",
        "middle_name": "MAE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "79102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02045680000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH6378",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "CARELLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.