Active NPI
Edison Alexander Martinez, APRN
- Family Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11024253
- Practice address
- 6619 N Wickham Rd
Melbourne, FL 32940-2006 - Phone
- (407) 956-1920
- NPI assigned
- Feb 3, 2023
- Last updated
- Jul 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11024253 | FL | Primary |
Addresses
Primary practice location
6619 N Wickham Rd
Melbourne, FL 32940-2006
Mailing address
6619 N Wickham Rd
Melbourne, FL 32940-2006
Phone (321) 259-9500
Other practice location 1
6156 Breslay Dr Ste 101
Viera, FL 32940-8727
Phone (321) 259-9500
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6619 N Wickham Rd
Melbourne, FL 32940-2006
Phone (321) 259-9500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11024253 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suntree Internal Medicine, LLC. | Single Specialty | Current | Accepting new patients |
| Suntree Endocrinology | Single Specialty | Current | Accepting new patients |
| My Home Doctor, LLC | Past | Accepting new patients | |
| Orlando Family Physicians, LLC | Past | Accepting new patients | |
| Idelis Fedeslinda Arias de la Torre | Past | Accepting new patients |
Locations
6619 N Wickham Rd
Melbourne, FL 32940
Phone (321) 259-9500
Networks
- Freedom Health HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1700947884
Single Specialty
-
- General Practice Physician
- Seffner, FL
- NPI 1639747595
-
- Attendant Care Provider
- Coral Gables, FL
- NPI 1902099104
-
- General Practice Physician
- Orlando, FL
- NPI 1912579673
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1073219820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6619 N WICKHAM RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402006",
"telephone_number": "321-259-9500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6619 N WICKHAM RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402006",
"telephone_number": "407-956-1920"
}
],
"practiceLocations": [
{
"address_1": "6156 Breslay Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Viera",
"state": "FL",
"postal_code": "329408727",
"country_code": "US",
"telephone_number": "321-259-9500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "EDISON",
"middle_name": "ALEXANDER",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-03",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11024253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.