Raciel Alonso Garcia, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Port St Lucie, FL
NPI 1902550460 · NPPES record last updated Oct 8, 2025
Key facts
- NPI
- 1902550460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN11018353 (FL)
- Practice address
- 1599 SE Lennard Rd
Port St Lucie, FL 34952-6542 - Phone
- (772) 323-0762
- Fax
- (772) 413-0045
- NPI assigned
- Feb 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Balanced Wellbeing LLC
Practice addresses (Care Compare)
3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220419000006 | FL | Practitioner - Nurse Practitioner | 3971990110 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F022220136 | FL | MD | Family Nurse Practitioner |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Family | Current |
Accepting new patients |
| Health and Healing Mental Health Center | Current |
Accepting new patients | |
| Balanced Wellbeing LLC | Current |
Accepting new patients | |
| MCR Health, Inc. | Current |
Accepting new patients |
Locations
3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
1599 SE Lennard Rd
Port St Lucie, FL 34952
Phone (772) 323-0762
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F022220136 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11018353 | FL | Yes |
| Family Nurse Practitioner | 363LF0000X | APRN11018353 | FL |
Addresses
Primary practice location
1599 SE Lennard Rd
Port St Lucie, FL 34952-6542
Mailing address
PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582
Other practice location 1
672 SW Prima Vista Blvd
Port St Lucie, FL 34983-1820
Phone (772) 905-2560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113507100 | Medicaid | FL | |
| O7106 | Other | FL | MEDICARE |
Other providers in Port St Lucie, FL
- Novelette Allen
- Sabrina Allen
- Stacie E Allen
- Allergy Specialists of Palm Beaches
- Marvalee Allison
- Alpha Industries LLC
- Mina Alqassab
- Altercare of Palm Beach County LLC
- Alternative Medical Healthcare Services, Corp.
- Adelle Altidor
All providers in Port St Lucie, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.