Individual provider Active NPI

Rachael M Hamelink, AGACNP

  • Adult Health Nurse Practitioner
  • Englewood, FL
National Provider Identifier
1841845658
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11025971 Issued in FL
Practice address
900 Pine St Ste 211
Englewood, FL 34223-4458
Phone
(941) 473-8881
Fax
(941) 475-0801
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11025971 FL Primary

Addresses

Primary practice location

900 Pine St Ste 211
Englewood, FL 34223-4458

Mailing address

900 Pine St Ste 211
Englewood, FL 34223-4458
Phone (941) 473-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191011000162 IN Practitioner - Nurse Practitioner 7719218445 Reassigns benefits to 1 organization
I20230622003592 FL Practitioner - Nurse Practitioner 7719218445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

1886 59TH St W
Bradenton, FL 34209-4630
Phone (941) 794-1980

825 Venetian Pkwy
Venice, FL 34285-7163
Phone (941) 246-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Digestive Health Specialists, LLP CurrentSince Jul 1, 2023 Accepting new patients
Ayble Health Service Corporation Past Accepting new patients

Locations

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

900 Pine St
Ste 211
Englewood, FL 34223
Phone (941) 475-3784

900 Pine St
Ste 212
Englewood, FL 34223

2061 Englewood Rd
Ste 5
Englewood, FL 34223

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1841845658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 211",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234458",
            "telephone_number": "941-473-8881",
            "fax_number": "941-475-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST STE 211",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234458",
            "telephone_number": "941-473-8881",
            "fax_number": "941-475-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMELINK",
        "first_name": "RACHAEL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11025971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.