Individual provider Active NPI

Alyssa Capawana, PA-C

  • Physician Assistant
  • Melbourne, FL
National Provider Identifier
1093331787
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9113155 Issued in FL
Practice address
6559 N Wickham Rd Ste C-105
Melbourne, FL 32940-2052
Phone
(321) 395-3298
Fax
(321) 241-1161
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9113155 FL Primary

Addresses

Primary practice location

6559 N Wickham Rd Ste C-105
Melbourne, FL 32940-2052

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

6545 N Wickham Rd Ste 101
Melbourne, FL 32940-2042
Phone (321) 395-3298

Other practice location 2

2305 Vidina Dr Ste 102
Melbourne, FL 32940-8066
Phone (321) 441-8332

Other practice location 3

6545 N Wickham Rd Ste 102
Melbourne, FL 32940-2042
Phone (321) 395-3298

Other practice location 4

420 5th Ave
Indialantic, FL 32903-4280
Phone (321) 312-1352

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address acapawana@foryourbestself.emadirect.md
Direct Messaging Address acapawana@foryourbestself.emadirect.md
Direct Messaging Address acapawana@foryourbestself.emadirect.md
Direct Messaging Address acapawana@foryourbestself.emadirect.md
Direct Messaging Address acapawana@foryourbestself.emadirect.md

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
I20200901001250 FL Practitioner - Physician Assistant 3678990926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2305 Vidina Dr
Suite 102
Melbourne, FL 32940-8066
Phone (321) 441-8332

420 5TH Ave
Indialantic, FL 32903-4280
Phone (321) 312-1352

530 Fontaine St
Pensacola, FL 32503-2019
Phone (800) 243-7546

6545 N Wickham Rd
Melbourne, FL 32940-2042
Phone (321) 395-3298

6559 N Wickham Rd
Suite C 105
Melbourne, FL 32940-2039
Phone (321) 395-3298

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9113155FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Dec 20, 2021 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Dec 20, 2021 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

420 5th Ave
Indialantic, FL 32903
Phone (321) 312-1352

2305 Vidina Dr
Ste 102
Melbourne, FL 32940
Phone (321) 441-8332

6545 N Wickham Rd
Ste 101
Melbourne, FL 32940
Phone (321) 395-3298

6559 N Wickham Rd
Ste C105
Melbourne, FL 32940
Phone (321) 241-1160

6545 N Wickham Rd
Ste 102
Melbourne, FL 32940
Phone (321) 395-3298

2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790

540 Fontaine St
Pensacola, FL 32503
Phone (800) 243-7546

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: acapawana@foryourbestself.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1093331787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 N WICKHAM RD STE C-105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402052",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 N Wickham Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402042",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 VIDINA DR STE 102",
            "address_purpose": "LOCATION",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408066",
            "country_code": "US",
            "telephone_number": "321-441-8332",
            "fax_number": "321-319-4931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6545 N Wickham Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402042",
            "country_code": "US",
            "telephone_number": "321-395-3298",
            "fax_number": "321-241-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329034280",
            "country_code": "US",
            "telephone_number": "321-312-1352",
            "fax_number": "321-312-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPAWANA",
        "first_name": "ALYSSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9113155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acapawana@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6545 N Wickham Rd Ste 101",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acapawana@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6559 N Wickham Rd Ste C-105",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acapawana@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "2305 VIDINA DR STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329408066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acapawana@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "6545 N Wickham Rd Ste 102",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acapawana@foryourbestself.emadirect.md",
            "affiliation": "N",
            "address_1": "420 5th Ave",
            "city": "Indialantic",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329034280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.