Individual provider Active NPI

Tameara L Neely

  • Nurse Practitioner
  • Palm Bay, FL
National Provider Identifier
1912796426
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11038666 Issued in FL
Practice address
1019 Apricot Ave SE
Palm Bay, FL 32909-4908
Phone
(772) 480-7047
NPI assigned
May 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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 11038666 FL Primary

Addresses

Primary practice location

1019 Apricot Ave SE
Palm Bay, FL 32909-4908

Mailing address

1019 Apricot Ave SE
Palm Bay, FL 32909-4908
Phone (772) 480-7047

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
I20250716004427 FL Practitioner - Nurse Practitioner 2769997766 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
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

3920 Rosewood Way
Orlando, FL 32808-1033
Phone (407) 298-9335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11038666FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Dec 31, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Jul 9, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

991 Pondella Rd
North Ft Myers, FL 33903
Phone (239) 994-8809

3920 Rosewood Way
Orlando, FL 32808
Phone (407) 298-9330

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

4641 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (212) 768-0008

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

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.

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1912796426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 APRICOT AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094908",
            "telephone_number": "772-480-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 APRICOT AVE SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094908",
            "telephone_number": "772-480-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "TAMEARA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11038666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.