Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. CELIA NACCARATO PHD, PMHNP-BC
NPI 1386617454
Nurse Practitioner - Psychiatric/Mental Health in Lady Lake, FL

Active since February 09, 2006Opted out of Medicare · through Oct 1, 2026
1411 CARRILLO ST, LADY LAKE, FL 32162(631) 766-5295(000) 000-0000 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 28, 2020, Nov 14, 2019, Jul 9, 2019 (3 updates tracked since 2019).

About Dr. Celia Naccarato Phd, Pmhnp-bc NPPES

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

DR. CELIA NACCARATO PHD, PMHNP-BC (NPI 1386617454) is an individual psychiatric/mental health provider in Lady Lake, Florida, licensed in Florida (2611292) and active in the NPI registry since February 2006. She has opted out of Medicare through October 1, 2026 and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1386617454
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. CELIA NACCARATOCredential: PHD, PMHNP-BC
Location Address1411 CARRILLO STLady Lake, FL 32162-0219
Mailing Address1411 Carrillo StLady Lake, FL 32162-0219 · (631) 766-5295 · Fax (000) 000-0000
Fax(000) 000-0000
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJune 26, 20263 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
NPI 1386617454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in FL · 2611292 Licensed in NY · F400920-1
1411 CARRILLO ST, Lady Lake, FL 32162

Secondary Practice Location 1

Location 12624 Leader CirWilmington, NC 28412-3646 · Phone (631) 766-5295

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Celia Naccarato Phd, Pmhnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
1411 CARRILLO ST
LADY LAKE, FL 32162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386617454, enumerated as an "individual" on February 09, 2006.

The provider is located at 1411 CARRILLO ST LADY LAKE, FL 32162 and the phone number is (631) 766-5295.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.