Active NPI
Carlene K Chambers, APRN
- Acute Care Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 11018388
- Practice address
- 5 Tampa General Cir Ste 300
Tampa, FL 33606-3578 - Phone
- (813) 251-0793
- NPI assigned
- Mar 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11018388 | FL | Primary |
Addresses
Primary practice location
5 Tampa General Cir Ste 300
Tampa, FL 33606-3578
Mailing address
PO Box 1289
Tampa, FL 33601-1289
Phone (813) 251-0793
Other practice location 1
6813 Blue Moon Way
Ruskin, FL 33573-0137
Phone (727) 421-1957
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cchambers184057@direct.tgh.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5150 Belfort Rd
BLDG 400
Jacksonville, FL 32256-6026
Phone (904) 580-4730
6310 Health Park Way
Suite 120
Lakewood Ranch, FL 34202-5177
9423 Town Ctr Pkwy
Lakewood Ranch, FL 34202-5134
Phone (941) 907-8951
9423 Town Ctr Pkwy
Lakewood Ranch, FL 34202-5177
Hospital & facility affiliations
- HCA Florida Sarasota Doctors Hospital
- Sarasota Memorial Hospital
- Lakewood Ranch Medical Center
- HCA Florida Blake Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.04 of 100
- Quality
- 87.5
- Improvement activities
- 40
- Cost
- 77.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.1 of 100
- Quality
- 35.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018388 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ibrahim Heart Clinic PLLC | Current | Accepting new patients | |
| Heart Care Consultants | Current | Accepting new patients | |
| Cardiac Vision LLC | Current | Accepting new patients |
Locations
215 S US Highway 17
East Palatka, FL 32131
Phone (386) 232-9203
1590 Island Ln
Ste 73
Fleming Island, FL 32003
5150 Belfort Rd
Bldg 400
Jacksonville, FL 32256
Phone (904) 296-0900
6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202
7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204
6310 Health Park Way
Ste 120
Lakewood Ranch, FL 34202
Phone (941) 907-8951
9423 Town Center Pkwy
Lakewood Ranch, FL 34202
Phone (941) 907-8951
319 W Call St
Ste B
Starke, FL 32091
Phone (904) 368-9102
Interoperability endpoints
- carlene.chambers.1@30619.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/EDCGCD
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.747353
- cchambers184057@direct.tgh.org
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.
-
- Cardiovascular Disease Physician
- Lakewood Ranch, FL
- NPI 1285870105
-
- Clinical Cardiac Electrophysiology Physician
- Jacksonville, FL
- NPI 1629511035
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1144651373
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Blake Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1730179714
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
dba HCA Florida Sarasota Doctors Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1003862053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1134875933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1289",
"city": "TAMPA",
"state": "FL",
"postal_code": "336011289",
"telephone_number": "813-251-0793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 TAMPA GENERAL CIR STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063578",
"telephone_number": "813-251-0793"
}
],
"practiceLocations": [
{
"address_1": "6813 Blue Moon Way",
"address_purpose": "LOCATION",
"city": "Ruskin",
"state": "FL",
"postal_code": "335730137",
"country_code": "US",
"telephone_number": "727-421-1957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAMBERS",
"first_name": "CARLENE",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11018388",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cchambers184057@direct.tgh.org",
"affiliation": "N",
"address_1": "5 Tampa General Cir Ste 300",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063578",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.