Phara Camille Metellus, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9319666 Issued in FL

Practice address

2328 10TH Ave N Ste 103
Lake Worth, FL 33461-6612

Phone

(561) 294-7473

NPI assigned

Oct 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Horizons of the Treasure Coast IncGroup PAC ID 1153313218, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Horizons of the Treasure Coast Inc

  • Community/Behavioral Health Agency
  • Ft. Pierce, FL
  • NPI 1154439958
  Medicare reassignment Care Compare group NPD
• 901 45TH Street West Palm Beach Florida Behavioral Health Hospital LLC

  • Psychiatric Hospital
  • Mangonia Park, FL
  • NPI 1396312021
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Legacy Behavioral Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indiantown, FL
  • NPI 1568439685
  Medicare reassignment NPD
• South County Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Delray Beach, FL
  • NPI 1033167721
  Medicare reassignment NPD
• Rebirth Integrated Primary Care and Behavioral Health, LLC

  • Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1437076247
  NPD (past) Authorized official
• Legacy Behavioral Health Center Inc

  • Community/Behavioral Health Agency
  • Okeechobee, FL
  • NPI 1083381552
  NPD

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1851843403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE N STE 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616612",
            "telephone_number": "561-294-7473",
            "fax_number": "561-431-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 10TH AVE N STE 103",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334616612",
            "telephone_number": "561-294-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METELLUS",
        "first_name": "PHARA",
        "middle_name": "CAMILLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9319666",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9319666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercury Center PA
• Merrick Nurse Registry LLC
• Scott Jacob Merz, D.C.
• Yaite Mesa
• Islandie Metayer, LPN
• Metro Physical & Occupational Therapy Inc
• Mark Joseph Metzger Sr., DPM
• Darlene Meus
• Seetal Mewar, M.D.,
• Kristina Meyers

• Psychiatric/Mental Health Nurse Practitioner in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.

Verify at the official NPI Registry.