Individual provider Active NPI

Rakia Hamilton

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1346016532
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029275 Issued in FL
Practice address
6139 NW Regent St
Port St Lucie, FL 34983-6404
Phone
(772) 528-0791
NPI assigned
Nov 28, 2023
Last updated
Nov 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 11029275 FL Primary

Addresses

Primary practice location

6139 NW Regent St
Port St Lucie, FL 34983-6404

Mailing address

6139 NW Regent St
Port St Lucie, FL 34983-6404
Phone (772) 528-0791

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
I20251118004472 FL Practitioner - Nurse Practitioner 1557852423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Deno Services IncGroup PAC ID 7618238726, 9 clinicians
Treasure Coast Hospitalist PLGroup PAC ID 8224197165, 7 clinicians

Practice addresses (Care Compare)

3720 SE Jennings Rd
Port Saint Lucie, FL 34952-7701
Phone (772) 202-0106

6692 SW Silver Wolf Dr
Palm City, FL 34990-8875
Phone (772) 249-5256

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029275FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Hospitalist PL CurrentSince Sep 11, 2025 Accepting new patients
Sante Plus Medical Center Past Accepting new patients
Treasure Coast Hospitalist PA PastSince Sep 11, 2025 Accepting new patients
Sante Plus Medical Center Past Accepting new patients

Locations

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1346016532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6139 NW REGENT ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349836404",
            "telephone_number": "772-528-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6139 NW REGENT ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349836404",
            "telephone_number": "772-528-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "RAKIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.