A Masterful Win PLLC · Psychiatric/Mental Health Nurse Practitioner

728 N Flamingo Dr, Daytona Beach, FL 32117-3332

Overview

A Masterful Win PLLC is a Psychiatric/Mental Health Nurse Practitioner (organization) practicing in Daytona Beach, Florida. The National Provider Identifier (NPI) is #1487528337, which was assigned on October 2, 2025, and the registration record was last updated on October 15, 2025. The practitioner's main practice location is at 728 N Flamingo Dr, Daytona Beach, FL 32117-3332; the contact telephone number is 3868712001. The primary taxonomy of A Masterful Win PLLC is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), with specialization in Psychiatric/Mental Health. The authorized official for A Masterful Win PLLC is Chad Smarse (Manager).

Provider Information

NPI 1487528337
Entity Type Organization
Organization Name A MASTERFUL WIN PLLC
Provider Name A MASTERFUL WIN PLLC
Practice Address 728 N Flamingo Dr
Daytona Beach
FL 32117-3332
Practice Telephone 3868712001
Mailing Address 728 N Flamingo Dr
Daytona Beach
FL 32117-3332
Mailing Telephone 3868712001
Certification Date 2025-10-15
Enumeration Date 2025-10-02
Last Update Date 2025-10-15
Is Organization Subpart N

Authorized Official Information

Official Name CHAD SMARSE
Official Title MANAGER
Credential PMHNP-BC
Telephone 3868712001

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363LP0808XNurse PractitionerPsychiatric/Mental Health193400000X SINGLE SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 363LP0808X
Taxonomy Psychiatric/Mental Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

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Location Information

Street Address 728 N FLAMINGO DR
City DAYTONA BEACH
State FL
Zip Code 32117-3332
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Henri Habib Nammour 2381 Mason Ave Suite 100, Daytona Beach, FL 32117Internal Medicine Physician2006-08-31
Mhai Nang Agraba 1700 Ridgewood Ave Ste J, Holly Hill, FL 32117-1782Pharmacist2025-09-03
Tyra Hayes 113 Notting Hill Dr, Daytona Beach, FL 32117-3832Driver2025-08-04
John Phan 301 Memorial Pkwy, Daytona Beach, FL 32117Pharmacist2026-04-10
Quick Care Medical 645 Ridgewood Ave, Holly Hill, FL 32117-3617Primary Care Clinic/Center2005-09-19
Walgreen Co 1829 Ridgewood Ave, Holly Hill, FL 32117-1737Community/Retail Pharmacy2006-07-29
Pamela N Williams 1016 Cadillac Dr, Daytona Beach, FL 32117-3959Licensed Practical Nurse2025-08-18
Prc Associates LLC 1671 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117Pain Medicine Physician2006-05-09
Atlas Aba 1621 Espanola Ave, Holly Hill, FL 32117-1745Behavioral Analyst2025-04-07
Kausar Parveen 2381 Mason Ave Ste 100, Daytona Beach, FL 32117Internal Medicine Physician2005-10-20
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.