Individual provider Active NPI

Melissa Osborne, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1093178105
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9212764 Issued in FL
Practice address
500 Winderley PL
Suite 115
Maitland, FL 32751-7247
Phone
(407) 875-0555
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9212764 FL
Family Nurse Practitioner 363LF0000X ARNP9212764 FL Primary

Addresses

Primary practice location

500 Winderley PL
Suite 115
Maitland, FL 32751-7247

Mailing address

500 Winderley Place
Suite 115
Maitland, FL 32751-3852
Phone (407) 875-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 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
I20160706002404 FL Practitioner - Nurse Practitioner 7012209307 Reassigns benefits to 2 organizations
I20240606003711 MI Practitioner - Nurse Practitioner 7012209307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palliative CoachGroup PAC ID 4284097734, 2 clinicians

Practice addresses (Care Compare)

Tampa, FL 33614
Phone (863) 225-1774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP9212764FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Coach CurrentSince Feb 18, 2024 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Jul 1, 2016 Accepting new patients
Palliative Coach Michigan CurrentSince May 30, 2024 Accepting new patients
Observation Medicine Specialists LLC Past Accepting new patients

Locations

8270 Woodland Center Blvd
Tampa, FL 33614
Phone (305) 449-9219

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Organizations & group practices 4

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1093178105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WINDERLEY PLACE",
            "address_2": "SUITE 115",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513852",
            "telephone_number": "407-875-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WINDERLEY PL",
            "address_2": "SUITE 115",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517247",
            "telephone_number": "407-875-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "MSN, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9212764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9212764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.