Individual provider Active NPI

Maxine R. Rachelle, P.A.

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1558394304
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106472 Issued in FL
Practice address
1875 Veterans Park Dr Ste 2203
Naples, FL 34109-0596
Phone
(239) 431-5884
Fax
(239) 631-6907
NPI assigned
Jul 7, 2006
Last updated
Nov 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106472 FL Primary

Addresses

Primary practice location

1875 Veterans Park Dr Ste 2203
Naples, FL 34109-0596

Mailing address

1875 Veterans Park Dr Ste 2203
Naples, FL 34109-0596
Phone (239) 431-5884

Other practice location 1

130 Tamiami Trl N
#220
Naples, FL 34102-6224
Phone (239) 624-1700

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
I20140521001098 FL Practitioner - Physician Assistant 3678547718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Philip Regala MD PLGroup PAC ID 4587625728, 4 clinicians

Practice addresses (Care Compare)

1350 Tamiami TRL N
Suite 203
Naples, FL 34102-5209
Phone (239) 325-1131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106472FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Orthopedics LLC CurrentSince Feb 3, 2026 Accepting new patients
Collier Hma Physician Management LLC Past Accepting new patients

Locations

1350 Tamiami Trl N
Naples, FL 34102
Phone (239) 430-4674

1350 Tamiami Trl N
Ste 203
Naples, FL 34102
Phone (239) 262-0020

Interoperability endpoints

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

Organizations & group practices 2

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 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793836800000",
    "number": "1558394304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 VETERANS PARK DR STE 2203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090596",
            "telephone_number": "239-431-5884",
            "fax_number": "239-631-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 VETERANS PARK DR STE 2203",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090596",
            "telephone_number": "239-431-5884",
            "fax_number": "239-631-6907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Tamiami Trl N",
            "address_2": "#220",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341026224",
            "country_code": "US",
            "telephone_number": "239-624-1700",
            "fax_number": "239-434-8605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACHELLE",
        "first_name": "MAXINE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.