Individual provider Active NPI

Manoucheka Cadet, APRN

  • Family Nurse Practitioner
  • Englewood, FL
National Provider Identifier
1881021467
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11036324 Issued in FL
Practice address
2828 S McCall Rd Ste 21
Englewood, FL 34224-9517
Phone
(941) 290-5111
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 314634 NY
Family Nurse Practitioner 363LF0000X APRN11036324 FL Primary

Addresses

Primary practice location

2828 S McCall Rd Ste 21
Englewood, FL 34224-9517

Mailing address

13436 Bouvardia LN
Port Charlotte, FL 33981-3944
Phone (845) 803-5162

Other practice location 1

775 Saint Johns Pl Apt 2H
Brooklyn, NY 11216-4274
Phone (845) 803-5162

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
I20250304003175 FL Practitioner - Nurse Practitioner 0345761557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Erie College of Osteopathic MedicineGroup PAC ID 7719141472, 3 clinicians
Quantum Practitioner Services LLCGroup PAC ID 7214392810, 31 clinicians

Practice addresses (Care Compare)

2828 S McCall Rd
21 Lecom Englewood Family Practice
Englewood, FL 34224-9517
Phone (941) 474-8154

6547 Kenava Loop
Palmetto, FL 34221-2595
Phone (941) 218-0175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314634NYMDLicensed Practical Nurse
APRN11036324FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Erie College of Osteopathic Medicine CurrentSince Jun 2, 2025 Accepting new patients
Quantum Practitioner Services LLC Family CurrentSince Jan 1, 2025 Accepting new patients

Locations

2828 S McCall Rd
Ste 21
Englewood, FL 34224
Phone (941) 290-5111

Interoperability endpoints

  • Direct secure messaging: manoucheka.cadet.1@12450.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1881021467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13436 BOUVARDIA LN",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339813944",
            "telephone_number": "845-803-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S MCCALL RD STE 21",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342249517",
            "telephone_number": "941-290-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Saint Johns Pl Apt 2H",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112164274",
            "country_code": "US",
            "telephone_number": "845-803-5162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CADET",
        "first_name": "MANOUCHEKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314634",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.