Individual provider Active NPI

Cheneil Fleary-Walker, APRN

  • Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1174255368
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11018873 Issued in FL
Practice address
311 Noland Dr
Brandon, FL 33511-5719
Phone
(813) 654-8100
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X APRN11018873 FL Primary

Addresses

Primary practice location

311 Noland Dr
Brandon, FL 33511-5719

Mailing address

719 Chatham Walk Dr
Ruskin, FL 33570-2059
Phone (727) 265-5842

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
I20250722000981 FL Practitioner - Nurse Practitioner 6709392269 Reassigns benefits to 1 organization

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
Elitecaremds Tampa LLCGroup PAC ID 5395278386, 4 clinicians

Practice addresses (Care Compare)

1414 69TH Ave W
Bradenton, FL 34207-5850
Phone (732) 713-4479

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elitecaremds Tampa LLC Single Specialty CurrentSince Aug 11, 2025 Accepting new patients

Locations

1203 E 22nd Ave
Tampa, FL 33605
Phone (813) 229-6901

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1174255368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 CHATHAM WALK DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335702059",
            "telephone_number": "727-265-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NOLAND DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115719",
            "telephone_number": "813-654-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEARY-WALKER",
        "first_name": "CHENEIL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11018873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.