Individual provider Active NPI

Cameika Odelvez Shepherd, APRN

  • Nurse Practitioner
  • Tavares, FL
National Provider Identifier
1245995992
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11016040 Issued in FL
Practice address
4501 Waterman Way
Tavares, FL 32778-5312
Phone
(872) 231-3162
NPI assigned
Nov 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X APRN11016040 FL
Registered Nurse 163W00000X APRN11016040 FL
Nurse Practitioner 363L00000X 11016040 FL Primary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X APRN11016040 FL

Addresses

Primary practice location

4501 Waterman Way
Tavares, FL 32778-5312

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

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
I20220203002648 FL Practitioner - Nurse Practitioner 5890188353 Reassigns benefits to 6 organizations

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
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

105 15TH St E
Bradenton, FL 34208-1337
Phone (732) 552-8922

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40
Cost
61.81

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016040FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Florida P.a. Multi-Specialty CurrentSince Aug 1, 2024 Accepting new patients
National Health Rehabilitation LLC Multi-Specialty CurrentSince Feb 1, 2024 Accepting new patients
Mana Health Partners PA Multi-Specialty CurrentSince Dec 1, 2023 Accepting new patients
Aaron J West MD PA Multi-Specialty CurrentSince Jan 31, 2022 Accepting new patients
Excellence Health, LLC Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
Halifax Healthcare Systems Inc Multi-Specialty CurrentSince Jan 20, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

105 15th St E
Bradenton, FL 34208
Phone (941) 747-8681

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

1851 Elkcam Blvd
Deltona, FL 32725
Phone (386) 789-3769

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

5011 Gate Pkwy
Bldg 100
Jacksonville, FL 32256
Phone (904) 512-7239

710 N Sun Dr
Lake Mary, FL 32746
Phone (386) 789-3769

2000 Edgewood Ave
Leesburg, FL 34748
Phone (352) 431-2482

1415 Hickory St
Melbourne, FL 32901
Phone (321) 723-1321

3050 Brown Ave
Mount Dora, FL 32757
Phone (352) 383-2208

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

4501 Waterman Way
Tavares, FL 32778
Phone (352) 460-2091

1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1245995992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785312",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "CAMEIKA",
        "middle_name": "ODELVEZ",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "APRN11016040",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "APRN11016040",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11016040",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "APRN11016040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.