CANAAN MAFFEO (APRN) – Family Nurse Practitioner, NPI 1215520937

CANAAN MAFFEO (APRN) is a healthcare provider. based in Rockledge, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11010122 (FL). The NPI Number for CANAAN MAFFEO (APRN) is 1215520937

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
CANAAN MAFFEO (APRN)
NPI
1215520937
Phone
(321) 480-5525
Address
1921 BRIDGEPORT CIR
Enumeration Date
12 February 2021
Last Update Date
23 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8009251840
Graduation Year
2020 (6 years ago)
PAC ID
8921414483
Group Practice PAC ID
2567773849
Professional Enrollment ID
I20210308001455
Address ID
FL328326998OR11954RDXX393
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for CANAAN MAFFEO (APRN)

  • 1921 BRIDGEPORT CIR

    ROCKLEDGE, FL 329554335

    Phone: (321) 480-5525

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $512.

Total Amount is formed as General ($512) + Research ($0) + Ownership ($0) = $512.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Next Science LLC ($512).

Total Amount

$512

General + Research + Ownership

Payments

10

Total payment records

General Amount

$512

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Next Science LLC$512
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210308001455INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes798190$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes320152$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month10967$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and7061$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a6536$0
View full utilization report →

Insurance plans in this area (ZIP 32955)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567773849View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Internal Medicine, HospitalistFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to CANAAN MAFFEO (APRN)?
The federal identifier for CANAAN MAFFEO (APRN) is NPI 1215520937.
Is CANAAN MAFFEO (APRN) active in the national directory?
CANAAN MAFFEO (APRN)'s public NPI profile is in an active state.
Can you summarize CANAAN MAFFEO (APRN)'s specialty in plain language?
Clinically, the directory lists CANAAN MAFFEO (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for CANAAN MAFFEO (APRN)?
We surface Rockledge, Florida for CANAAN MAFFEO (APRN) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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