Individual provider Active NPI

Giselle G Rios, APRN

  • Family Nurse Practitioner
  • Cocoa, FL
National Provider Identifier
1043832827
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004516 Issued in FL
Practice address
4860 Fresno St
Cocoa, FL 32927-8336
Phone
(321) 961-5883
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004516 FL Primary

Addresses

Primary practice location

4860 Fresno St
Cocoa, FL 32927-8336

Mailing address

4860 Fresno St
Cocoa, FL 32927-8336
Phone (321) 961-5883

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
I20200611000581 FL Practitioner - Nurse Practitioner 6800217274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Brevard Medical Support IncGroup PAC ID 7618870296, 62 clinicians

Practice addresses (Care Compare)

5005 Port St John Pkwy
Suite 2500
Port St John, FL 32927-4305
Phone (321) 268-6834

Hospital & facility affiliations

  • Parrish Home Health Home health agency, Titusville, FL, CCN 107488
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004516FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Healthcare, Inc. CurrentSince May 27, 2020 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Jul 30, 2021 Accepting new patients

Locations

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

6100 Minton Rd NW
Ste 104
Palm Bay, FL 32907
Phone (321) 724-1171

390 Challenger Rd
Port Canaveral, FL 32920
Phone (321) 633-8640

5005 Port St John Pkwy
Ste 2500
Port St John, FL 32927
Phone (321) 504-0556

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Interoperability endpoints

  • Direct secure messaging: giselle.rios.1@17832.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1043832827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 FRESNO ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329278336",
            "telephone_number": "321-961-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 FRESNO ST",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329278336",
            "telephone_number": "321-961-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "GISELLE",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.