Active NPI
Elizabeth Marie Ambrose
- Nurse Practitioner
- Melbourne, FL
National Provider Identifier
1043509300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9217891
- Practice address
- 1223 Gateway Dr
Melbourne, FL 32901-2607 - Phone
- (321) 312-3456
- Fax
- (321) 676-9196
- NPI assigned
- Apr 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9217891 | FL | Primary |
Addresses
Primary practice location
1223 Gateway Dr
Melbourne, FL 32901-2607
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 312-3456
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP9217891 | Other | FL | FLORIDA LICENSE |
| EW744X | Other | FL | MEDICARE |
Other names 1
- Betsy Ambrose
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9217891 | FL | MD | Nurse Practitioner |
Interoperability endpoints
- eambrose23589@epicdirect.hf.org
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
-
- Internal Medicine Physician
- West Melbourne, FL
- NPI 1144281247
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1043509300",
"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": "321-312-3456",
"fax_number": "321-951-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 GATEWAY DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329012607",
"telephone_number": "321-312-3456",
"fax_number": "321-676-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSE",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9217891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "ARNP9217891",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "EW744X",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETSY",
"last_name": "AMBROSE",
"credential": "ARNP, FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Melbourne, FL
- Ahmad Mustafa Amani, M.D.
- Melissa Amarnath, ITDS
- Alexis Amatrudi, APRN, FNP-C
- Elose Ambeau, CNM
- Anne Micheline Ambroise, BS
- Leyana Candice Ambrose
- Ambulatory Surgery Center Support Services
- Amedisys Hospice, L.L.C. (Amedisys Hospice of Brevard)
- Amedisys Hospice, L.L.C. (Amedisys Hospice of Brevard)
- Amedisys Hospice, L.L.C. (Palliative Care Connections of Brevard)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.