Individual provider Active NPI

Melina Davita Hoffman, NP

  • Nurse Practitioner
  • Sebring, FL
National Provider Identifier
1083066070
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN90300231 Issued in FL
Practice address
4759 Lakeview Dr Ste 101
Sebring, FL 33870-2005
Phone
(863) 402-5600
Fax
(863) 402-5602
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9300231 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9300231 FL
Occupational Health Nurse Practitioner 363LX0106X ARNP9300231 FL
Nurse Practitioner 363L00000X RN90300231 FL Primary

Addresses

Primary practice location

4759 Lakeview Dr Ste 101
Sebring, FL 33870-2005

Mailing address

4759 Lakeview Dr Ste 101
Sebring, FL 33870-2005
Phone (863) 402-5600

Other identifiers 3

IdentifierTypeStateIssuer
ARNP9300231OtherFLFLORIDA DOH
4917688927OtherNATIONAL REGISTRY
QDTZTOtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN90300231FLMDNurse Practitioner
ARNP9300231FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Lakes Surgical PLLC CurrentSince Jul 31, 2022 Accepting new patients
Janivara Umesh MD Past Accepting new patients

Locations

4759 Lakeview Dr
Ste 101
Sebring, FL 33870
Phone (863) 402-5600

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.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1083066070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 LAKEVIEW DR STE 101",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702005",
            "telephone_number": "863-402-5600",
            "fax_number": "863-402-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4759 LAKEVIEW DR STE 101",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702005",
            "telephone_number": "863-402-5600",
            "fax_number": "863-402-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "MELINA",
        "middle_name": "DAVITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9300231",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9300231",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "FL",
            "license": "ARNP9300231",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN90300231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DOH",
            "identifier": "ARNP9300231",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTRY",
            "identifier": "4917688927",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "QDTZT",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.