Individual provider Active NPI

Melinda Jo Baker, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1003706714
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11040635 Issued in FL
Practice address
159 Capri Dr
Ormond Beach, FL 32176-2233
Phone
(937) 408-0094
NPI assigned
Jul 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11040635 FL Primary

Addresses

Primary practice location

159 Capri Dr
Ormond Beach, FL 32176-2233

Mailing address

159 Capri Dr
Ormond Beach, FL 32176-2233
Phone (937) 408-0094

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
I20251110003013 FL Practitioner - Nurse Practitioner 4688164312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Integrative Healthcare IncGroup PAC ID 2264651074, 11 clinicians

Practice addresses (Care Compare)

315 N Ridgewood Ave
Edgewater, FL 32132-1617
Phone (386) 427-8403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11040635FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Integrative Healthcare Inc CurrentSince Oct 15, 2025 Accepting new patients
Coastal Integrative Healthcare Inc Nurse Practitioner CurrentSince Oct 15, 2025 Accepting new patients

Locations

315 N Ridgewood Ave
Edgewater, FL 32132
Phone (386) 427-8403

145 Cypress Point Pkwy
Ste 207
Palm Coast, FL 32164
Phone (386) 225-4700

Organizations & group practices 2

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": "1751587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751760000000",
    "number": "1003706714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 CAPRI DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321762233",
            "telephone_number": "937-408-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 CAPRI DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321762233",
            "telephone_number": "937-408-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MELINDA",
        "middle_name": "JO",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-04",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11040635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.