Individual provider Active NPI

Lucia Cabanela Macias, PA-C

  • Physician Assistant
  • Fort Pierce, FL
National Provider Identifier
1992552095
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9118795 Issued in FL
Practice address
1503 Yosemite CT
Fort Pierce, FL 34982-5771
Phone
(772) 361-5183
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9118795 FL Primary

Addresses

Primary practice location

1503 Yosemite CT
Fort Pierce, FL 34982-5771

Mailing address

1503 Yosemite CT
Fort Pierce, FL 34982-5771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1503 Yosemite CT
Fort Pierce, FL 34982-5771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9118795FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Medical and Health Services LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

145 NW Central Park Plz
Ste 200
Port St Lucie, FL 34986
Phone (772) 303-1987

160 NW Central Park Plz
Ste 105
Port St Lucie, FL 34986
Phone (772) 303-1987

705 17th St
Vero Beach, FL 32960
Phone (240) 899-3111

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.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1992552095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 YOSEMITE CT",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 YOSEMITE CT",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825771",
            "telephone_number": "772-361-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANELA MACIAS",
        "first_name": "LUCIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9118795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.