NPIMap

Individual provider Active NPI

Rachel Pellum, ARNP

  • Family Nurse Practitioner
  • Salt Springs, FL
National Provider Identifier
1699059709
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9234844 Issued in FL
Practice address
23715 NE Highway 314
Salt Springs, FL 32134-6239
Phone
(352) 414-1644
Fax
(833) 944-2202
NPI assigned
Oct 7, 2011
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9234844 FL
Family Nurse Practitioner 363LF0000X ARNP 9234844 FL Primary

Addresses

Primary practice location

23715 NE Highway 314
Salt Springs, FL 32134-6239

Mailing address

23715 NE Highway 314
Salt Springs, FL 32134-6239
Phone (352) 414-1644

Other practice location 1

23715 NE Highway 314
Salt Springs, FL 32134-6239
Phone (352) 414-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130607000215 FL Practitioner - Nurse Practitioner 3779721493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caritas in Home Primary Care LLCGroup PAC ID 8628409489, 10 clinicians

Practice addresses (Care Compare)

23715 NE Hwy 314
Salt Springs, FL 32134-6239
Phone (352) 414-1644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.82
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9234844FLMDFamily Nurse Practitioner
ARNP 9234844FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caritas in Home Primary Care, LLC CurrentSince Apr 22, 2020 Accepting new patients
Md2U Florida LLC CurrentSince Jun 3, 2013 Accepting new patients
University of North Florida Student Medical Service Past Accepting new patients

Locations

10151 Deerwood Park Blvd
Ste 200-250
Jacksonville, FL 32256
Phone (904) 704-2527

Interoperability endpoints

  • Direct secure messaging: rachel.pellum.1@19343.direct.athenahealth.com
  • Direct secure messaging: rachel.pellum.1@21287.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1699059709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23715 NE HIGHWAY 314",
            "city": "SALT SPRINGS",
            "state": "FL",
            "postal_code": "321346239",
            "telephone_number": "352-414-1644",
            "fax_number": "833-944-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23715 NE HIGHWAY 314",
            "city": "SALT SPRINGS",
            "state": "FL",
            "postal_code": "321346239",
            "telephone_number": "352-414-1644",
            "fax_number": "833-944-2202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23715 NE Highway 314",
            "address_purpose": "LOCATION",
            "city": "Salt Springs",
            "state": "FL",
            "postal_code": "321346239",
            "country_code": "US",
            "telephone_number": "352-414-1644",
            "fax_number": "833-944-2202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLUM",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9234844",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9234844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Springs, FL

Sources for this page

Verify at the official NPI Registry.