Individual provider Active NPI

Cameren J Hackley, ARNP

  • Family Nurse Practitioner
  • Madison, TN
National Provider Identifier
1285185835
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
40606 Issued in TN
Practice address
2009 Gallatin Pike N
Madison, TN 37115-2001
Phone
(615) 988-4055
Fax
(877) 721-6419
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 40606 TN Primary

Addresses

Primary practice location

2009 Gallatin Pike N
Madison, TN 37115-2001

Mailing address

2009 Gallatin Pike N
Madison, TN 37115-2001
Phone (615) 988-4055

Other identifiers 1

IdentifierTypeStateIssuer
Q0113256MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cameren.hackley.1@29601.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161128000953 FL Practitioner - Nurse Practitioner 8628357167 Reassigns benefits to 1 organization
I20260512000512 TN Practitioner - Nurse Practitioner 8628357167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates in Medicine and Surgery LLCGroup PAC ID 8123167723, 17 clinicians

Practice addresses (Care Compare)

1220 Business Way
Suite 2
Lehigh Acres, FL 33936-6073
Phone (239) 303-2600

2009 Gallatin Pike N
Madison, TN 37115-2001
Phone (615) 988-4055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
59.91
Promoting interoperability
99
Improvement activities
40
Cost
80.02

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9445276FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Medicine & Surgery LLC Family CurrentSince Oct 21, 2016 Accepting new patients
Im Healthcare PA PastSince Oct 21, 2016 Accepting new patients

Locations

8851 Boardroom Cir
Fort Myers, FL 33919
Phone 23948170008810

1220 Business Way
Ste 2
Lehigh Acres, FL 33936
Phone (239) 303-2600

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1285185835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152001",
            "telephone_number": "615-988-4055",
            "fax_number": "877-721-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152001",
            "telephone_number": "615-988-4055",
            "fax_number": "877-721-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLEY",
        "first_name": "CAMEREN",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "40606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0113256",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cameren.hackley.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct message email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2009 Gallatin Pike N",
            "city": "Madison",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371152001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.