Individual provider Active NPI

Merlyn M McDonald, APRN

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1033268677
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9253571 Issued in FL
Practice address
1130 Hickory St
Ste. B
Melbourne, FL 32901-1973
Phone
(321) 752-0944
Fax
(321) 434-7590
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN9253571 FL
Nurse Practitioner 363L00000X APRN9253571 FL Primary

Addresses

Primary practice location

1130 Hickory St
Ste. B
Melbourne, FL 32901-1973

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 752-0944

Other identifiers 3

IdentifierTypeStateIssuer
AA627ZWOtherFLMEDICARE
003250100MedicaidFL
P01833854OtherFLFL RR MEDICARE

Other names 1

  • Ms. Merlyn M Henry Former name

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
I20070215000504 FL Practitioner - Nurse Practitioner 5092717355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Care Centers of Brevard IncGroup PAC ID 3274435102, 17 clinicians

Practice addresses (Care Compare)

2290 W Eau Gallie Blvd
Suite 202
Melbourne, FL 32935-3145
Phone (321) 254-4776

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9253571FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Centers of Brevard Inc CurrentSince Mar 1, 2025 Accepting new patients
Cancer Care Centers of Brevard Inc CurrentSince Mar 1, 2025 Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients
Vero Orthopaedics II PA PastSince Jul 1, 1997 Accepting new patients

Locations

1430 Pine St
Melbourne, FL 32901
Phone (321) 952-0898

2290 W Eau Gallie Blvd
Ste 202
Melbourne, FL 32935
Phone (321) 254-4776

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

215 Cone Rd
Merritt Island, FL 32952
Phone (561) 589-1995

10 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 752-4811

20 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 725-8300

1048 Harvin Way
Rockledge, FL 32955
Phone (321) 636-2111

1038 Harvin Way
Ste 120
Rockledge, FL 32955
Phone (321) 636-2111

13050 US Highway 1
Sebastian, FL 32958
Phone (561) 589-1995

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: merlyn.mcdonald@cccb.ikm.direct-ci.com
  • Direct secure messaging: mmcdonald@health-first.direct.varian.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1033268677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-752-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HICKORY ST",
            "address_2": "STE. B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011973",
            "telephone_number": "321-752-0944",
            "fax_number": "321-434-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MERLYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9253571",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9253571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AA627ZW",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003250100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RR MEDICARE",
            "identifier": "P01833854",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERLYN",
            "last_name": "HENRY",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.