Renee Rowe McCormack, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP9230927 Issued in FL

Practice address

500 Hospital Dr
Crestview, FL 32539-7355

Phone

(850) 687-0887

NPI assigned

Mar 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Psychiatry LLCGroup PAC ID 0749529261, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Southern Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Crestview, FL
  • NPI 1467917898

  Family

  Medicare reassignment Care Compare group NPD Authorized official
• Avenir Ventures, L.L.C.

  • Physician Assistant
  • Pensacola, FL
  • NPI 1568723898
  NPD (past)
• Comfort Care Medical Group PA

  • Medical Physician Assistant
  • Pensacola, FL
  • NPI 1841236726
  NPD (past)
• Avenir Ventures, L.L.C.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Franklinton, NC
  • NPI 1629967138
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1114292992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1522",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324591522",
            "telephone_number": "614-673-6737",
            "fax_number": "850-509-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397355",
            "telephone_number": "850-687-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "RENEE",
        "middle_name": "ROWE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9230927",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9230927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Matheson, COTA
• Eva Maria I Matute
• Alicia Nicole Maynor
• McKinze McAlister, APRN
• Angela McClaskey, QASP-S
• Stephen McCrea II, LMHC
• Elizabeth Ann McDowell, PNP
• Ranisha Elouise McDowell
• Caroline McGavock, OTR/L
• Jacqueline McGrath, PA

• Psychiatric/Mental Health Nurse Practitioner in Crestview, FL
• Providers in Crestview, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.

Verify at the official NPI Registry.