KELLY CACCAMIS
NPI 1033617451
Counselor - Mental Health in Gainesville, FL

Active since January 31, 2018PECOS Enrolled
1601 SW ARCHER RD, GAINESVILLE, FL 32608(352) 376-1611 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2023, May 1, 2019 (2 updates tracked since 2019).

About Kelly Caccamis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY CACCAMIS (NPI 1033617451) is an individual mental health provider in Gainesville, Florida and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033617451
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY CACCAMIS
Location Address1601 SW ARCHER RDGainesville, FL 32608-1135
Mailing Address3718 Ne 5th TerOcala, FL 34479-2331
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 31, 2018
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1033617451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
1601 SW ARCHER RD, Gainesville, FL 32608

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Caccamis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678929668
PECOS Enrollment IDI20260630003405
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Caccamis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado, Connecticut and Florida enrollments
  • 504 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Internal Medicine (Gastroenterology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Internal Medicine (Hematology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Social Worker (Clinical)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Specialist/Technologist, Pathology (Histology)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Pharmacist (Pharmacotherapy)
1601 SW ARCHER RD
GAINESVILLE, FL 32608
Dentist (General Practice)
1601 SW ARCHER RD, DENTAL SERVICE (160), V.A. MEDICAL CENTER
GAINESVILLE, FL 32608

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Caccamis's NPI number?

The NPI number for Kelly Caccamis is 1033617451. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Kelly Caccamis located?

Kelly Caccamis practices at 1601 SW Archer Rd, Gainesville, FL 32608. The listed phone number is (352) 376-1611.

What is Kelly Caccamis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kelly Caccamis enrolled in Medicare?

Yes. Kelly Caccamis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Caccamis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Caccamis reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Caccamis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Caccamis accept?

Health plans from Anthem Blue Cross and Blue Shield, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Kelly Caccamis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Caccamis was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.