Individual provider Active NPI

Guy Trevor Rockafellow, APRN

  • Adult Health Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1366949018
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9309659 Issued in FL
Practice address
10238 SW 86TH Cir Unit 300
Ocala, FL 34481-7625
Phone
(352) 873-1011
Fax
(352) 873-1017
NPI assigned
Apr 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9309659 FL
Gerontology Nurse Practitioner 363LG0600X APRN9309659 FL
Adult Health Nurse Practitioner 363LA2200X APRN9309659 FL Primary

Addresses

Primary practice location

10238 SW 86TH Cir Unit 300
Ocala, FL 34481-7625

Mailing address

8190 SW 54TH CT
Ocala, FL 34476-3788

Other identifiers 2

IdentifierTypeStateIssuer
100439900MedicaidFL
IPYBKOtherFLBCBS FL

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
I20180918001467 FL Practitioner - Nurse Practitioner 5991056798 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Pain Management and Rehabilitation LLCGroup PAC ID 4082089321, 2 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

10238 SW 86TH Cir
Unit 300
Ocala, FL 34481-7625
Phone (352) 873-1011

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9309659FLMDNurse Practitioner
APRN9309659FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Nurse Practitioner CurrentSince Apr 13, 2020 Accepting new patients
Medical Associates LLC CurrentSince Mar 24, 2023 Accepting new patients
Comprehensive Pain Management and Rehabilitation LLC CurrentSince Jul 1, 2024 Accepting new patients
Geriatric Care Associates LLC CurrentSince Mar 24, 2023 Accepting new patients
Munroe Hma HMPN LLC Nurse Practitioner PastSince Apr 13, 2020 Accepting new patients

Locations

10238 SW 86th Cir
Unit 200
Ocala, FL 34481
Phone (352) 873-1010

40 SW 12th St
Ste 201B
Ocala, FL 34471
Phone (352) 291-0019

9401 SW Highway 200
Ste 6001
Ocala, FL 34481
Phone (352) 291-1300

10238 SW 86th Cir
Unit 300
Ocala, FL 34481
Phone (352) 873-1010

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIBBDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1366949018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 SW 54TH CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344763788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 SW 86TH CIR UNIT 300",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817625",
            "telephone_number": "352-873-1011",
            "fax_number": "352-873-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKAFELLOW",
        "first_name": "GUY",
        "middle_name": "TREVOR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9309659",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9309659",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9309659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100439900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "IPYBK",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.