Active NPI
Cameren J Hackley, ARNP
- Family Nurse Practitioner
- Madison, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 40606
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q0113256 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Pinnacle Home Care
- Cape Coral Hospital
- Lee Memorial Hospital
- HCA Florida Lehigh Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.5 of 100
- Quality
- 59.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.02
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9445276 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Medicine & Surgery LLC | Family | Current | Accepting new patients |
| Im Healthcare PA | Past | 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.
-
- Foot & Ankle Surgery Podiatrist
- Fort Myers, FL
- NPI 1386884385
Family
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1649900135
-
- Internal Medicine Physician
- Lehigh Acres, FL
- NPI 1538116728
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lehigh Acres, FL
- NPI 1982426615
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
- Home Health Agency
- Fort Myers, FL
- NPI 1720592751
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.