Active NPI
Rachalle Boutros Nehmeh, PA-C
- Physician Assistant
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9118885
- Practice address
- 10 SE Central Pkwy Ste 100
Stuart, FL 34994-5914 - Phone
- (772) 303-1101
- NPI assigned
- Jan 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9118885 | FL | Primary |
Addresses
Primary practice location
10 SE Central Pkwy Ste 100
Stuart, FL 34994-5914
Mailing address
3272 SE West Snow Rd
Port Saint Lucie, FL 34984-6527
Phone (772) 203-7286
Other practice location 1
160 NW Central Park Plz Ste 104
Port Saint Lucie, FL 34986-1825
Phone (772) 919-5825
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
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10 SE Central Pkwy
Suite 101
Stuart, FL 34994-5914
Phone (772) 497-5895
145 NW Central Park PLZ
Suite 200
Port St Lucie, FL 34986-2482
Phone (772) 497-5985
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
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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dba iMind Mental Health Solutions
- Mental Health Counselor
- Port St Lucie, FL
- NPI 1720759954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1417618828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3272 SE WEST SNOW RD",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349846527",
"telephone_number": "772-203-7286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SE CENTRAL PKWY STE 100",
"city": "STUART",
"state": "FL",
"postal_code": "349945914",
"telephone_number": "772-303-1101"
}
],
"practiceLocations": [
{
"address_1": "160 NW Central Park Plz Ste 104",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349861825",
"country_code": "US",
"telephone_number": "772-919-5825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEHMEH",
"first_name": "RACHALLE",
"middle_name": "BOUTROS",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9118885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.