Active NPI
Cameika Odelvez Shepherd, APRN
- Nurse Practitioner
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11016040
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | APRN11016040 | FL | |
| Registered Nurse | 163W00000X | APRN11016040 | FL | |
| Nurse Practitioner | 363L00000X | 11016040 | FL | Primary |
| Pain Medicine Physician | 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
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)
105 15TH St E
Bradenton, FL 34208-1337
Phone (732) 552-8922
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.99 of 100
- Quality
- 84.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.81
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.66 of 100
- Quality
- 73.72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11016040 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnectmd Florida P.a. | Multi-Specialty | Current | Accepting new patients |
| National Health Rehabilitation LLC | Multi-Specialty | Current | Accepting new patients |
| Mana Health Partners PA | Multi-Specialty | Current | Accepting new patients |
| Aaron J West MD PA | Multi-Specialty | Current | Accepting new patients |
| Excellence Health, LLC | Multi-Specialty | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Multi-Specialty | Current | 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
- 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.
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- Interventional Pain Medicine Physician
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-
- Geriatric Medicine (Internal Medicine) Physician
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- NPI 1912632886
Multi-Specialty
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Multi-Specialty
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
FL, Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.