Individual provider Active NPI

Rebecca Lynn Mackowski, ARNP

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1871996835
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9298437 Issued in FL
Practice address
1200 Riverplace Blvd
Suite 620
Jacksonville, FL 32207-9046
Phone
(904) 396-6620
Fax
(904) 396-6528
NPI assigned
Oct 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9298437 FL Primary

Addresses

Primary practice location

1200 Riverplace Blvd
Suite 620
Jacksonville, FL 32207-9046

Mailing address

1200 Riverplace Blvd
Suite 620
Jacksonville, FL 32207-9046
Phone (904) 396-6620

Other names 1

  • Rebecca Castleberry Former name

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
I20141126000740 FL Practitioner - Nurse Practitioner 8921320094 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Bennett Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians

Practice addresses (Care Compare)

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (865) 693-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ca Pacs 2 Medical Group Inc CurrentSince Jan 1, 2022 Accepting new patients
Florida Post Acute Medical Services 1 PA CurrentSince Aug 1, 2017 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 23, 2024 Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner CurrentSince Oct 11, 2014 Accepting new patients

Locations

21251 E Dixie Hwy
Aventura, FL 33180
Phone (305) 935-4825

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

1200 Riverplace Blvd
Ste 620
Jacksonville, FL 32207
Phone (904) 396-6620

9820 SW 88th St
Miami, FL 33176
Phone (305) 271-6311

42 Collins Ave
#S
Miami Beach, FL 33139
Phone (305) 672-1771

4513 Executive Dr
Fl 2
Naples, FL 34119

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

777 S Douglas Rd
Pembroke Pines, FL 33025
Phone (954) 276-6200

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

490 S Old Wire Rd
Wildwood, FL 34785
Phone (352) 748-3322

2675 N Andrews Ave
Wilton Manors, FL 33311
Phone (954) 563-4711

38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1871996835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RIVERPLACE BLVD",
            "address_2": "SUITE 620",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079046",
            "telephone_number": "904-396-6620",
            "fax_number": "904-396-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIVERPLACE BLVD",
            "address_2": "SUITE 620",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079046",
            "telephone_number": "904-396-6620",
            "fax_number": "904-396-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKOWSKI",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9298437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CASTLEBERRY",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.