Individual provider Active NPI

Jamie Maberry, NP

  • Adult Health Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1073987376
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11028445 Issued in FL
Practice address
915 N Courtenay Pkwy
Merritt Island, FL 32953-4530
Phone
(321) 441-8749
NPI assigned
Nov 24, 2015
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP8280 AZ
Adult Health Nurse Practitioner 363LA2200X APRN11028445 FL Primary

Addresses

Primary practice location

915 N Courtenay Pkwy
Merritt Island, FL 32953-4530

Mailing address

915 N Courtenay Pkwy
Merritt Island, FL 32953-4530
Phone (321) 441-8749

Other practice location 1

3155 Suntree Blvd Unit 102
Rockledge, FL 32955-5797
Phone (321) 441-8749

Other identifiers 2

IdentifierTypeStateIssuer
R0206OtherFLMEDICARE HF
120382500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220118001843 AZ Practitioner - Nurse Practitioner 0941692214 Reassigns benefits to 1 organization
I20231115003928 FL Practitioner - Nurse Practitioner 0941692214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Heart and Vascular Specialists LLCGroup PAC ID 3072958768, 2 clinicians

Practice addresses (Care Compare)

3155 Suntree Blvd
Suite 102
Rockledge, FL 32955-5720
Phone (321) 441-8749

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kalpana Gorthi, MD, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Intensivists of Arizona, LLC CurrentSince Feb 1, 2022 Accepting new patients
Florida Heart and Vascular Specialists LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

6970 E Chauncey Ln
Ste 105
Phoenix, AZ 85054
Phone (602) 347-6620

915 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 441-8749

3155 Suntree Blvd
Unit 102
Rockledge, FL 32955
Phone (321) 425-3187

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBEDD/Endpoint/GBBEDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1073987376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534530",
            "telephone_number": "321-441-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534530",
            "telephone_number": "321-441-8749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 Suntree Blvd Unit 102",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329555797",
            "country_code": "US",
            "telephone_number": "321-441-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABERRY",
        "first_name": "JAMIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-24",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8280",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11028445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "R0206",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120382500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.