Individual provider Active NPI

Dawn P Hamel, ARNP-C

  • Primary Care Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1003149204
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
9351411 Issued in FL
Practice address
2290 W Eau Gallie Blvd
Melbourne, FL 32935-3133
Phone
(321) 435-1505
Fax
(321) 426-7446
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14393 TN
Primary Care Nurse Practitioner 363LP2300X 9351411 FL Primary

Addresses

Primary practice location

2290 W Eau Gallie Blvd
Melbourne, FL 32935-3133

Mailing address

2290 W Eau Gallie Blvd Ste 210B
Melbourne, FL 32935-3145
Phone (321) 435-1505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130326000188 FL Practitioner - Nurse Practitioner 9335278324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

5930 Old French Rd
Erie, PA 16509-3656
Phone (814) 860-7816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9351411FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Care Plan, Inc CurrentSince Feb 7, 2009 Accepting new patients
Rishi & Srikanth P a CurrentSince Apr 1, 2014 Accepting new patients
Arthritis & Joint Center of Florida LLC CurrentSince Sep 25, 2017 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients
Medical Associates of Brevard LLC PastSince Sep 5, 2021 Accepting new patients
Biocellular Therapies Inc PastSince Sep 5, 2021 Accepting new patients
Florida Health Care Plan, Inc PastSince Feb 25, 2013 Accepting new patients
Regional Obstetrical Consultants PC PastSince Aug 1, 2000 Accepting new patients

Locations

320 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 238-3200

2328 Medico Ln
Melbourne, FL 32940
Phone (321) 956-1501

309 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 445-7073

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

502 Garden St
Titusville, FL 32796
Phone (321) 383-0298

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7740/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1116
  • FHIR API: https://fhir4.healow.com/fhir/r4/GIJFBD/Endpoint/GIJFBD

Organizations & group practices 8

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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1003149204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W EAU GALLIE BLVD STE 210B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353145",
            "telephone_number": "321-435-1505",
            "fax_number": "321-426-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 W EAU GALLIE BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353133",
            "telephone_number": "321-435-1505",
            "fax_number": "321-426-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEL",
        "first_name": "DAWN",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14393",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9351411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.