NPIMap

Individual provider Active NPI

Cameron Money Macchia

  • Nurse Practitioner
  • Ponte Vedra Beach, FL
National Provider Identifier
1982309985
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11025373 Issued in FL
Practice address
42 Davin CT
Ponte Vedra Beach, FL 32082-1840
Phone
(904) 490-0264
NPI assigned
Mar 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X APRN11025373 FL
Nurse Practitioner 363L00000X APRN11025373 FL Primary

Addresses

Primary practice location

42 Davin CT
Ponte Vedra Beach, FL 32082-1840

Mailing address

247 Rubicon Dr
Saint Johns, FL 32259-8452
Phone (904) 490-0264

Other identifiers 1

IdentifierTypeStateIssuer
APRN11025373OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531000185 FL Practitioner - Nurse Practitioner 3678930005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Primary Care Solutions Jacksonville LLCGroup PAC ID 9739553207, 13 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

42 Davin CT
Ponte Vedra Beach, FL 32082-1840
Phone (904) 490-0264

905 Assisi LN
Jacksonville, FL 32233-2972
Phone (904) 595-6520

Hospital & facility affiliations

  • Choice Matters Home Healthcare Inc Home health agency, Jacksonville, FL, CCN 683129
  • First Senior Home Health Home health agency, Orange Park, FL, CCN 109537
  • Concierge Home Care Home health agency, Jacksonville, FL, CCN 109742
  • Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
  • Bravery Home Healthcare Home health agency, St Augustine, FL, CCN 687344
  • Community Hospice of Northeast Florida Inc Hospice, Jacksonville, FL, CCN 101500
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11025373FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Solutions Jacksonville LLC CurrentSince Mar 26, 2023 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1982309985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 RUBICON DR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322598452",
            "telephone_number": "904-490-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 DAVIN CT",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821840",
            "telephone_number": "904-490-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHIA",
        "first_name": "CAMERON",
        "middle_name": "MONEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "APRN11025373",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11025373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN11025373",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.