Individual provider Active NPI

Melissa Edwards, APRN

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1093977902
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9275574 Issued in FL
Practice address
2300 N Commerce Pkwy Ste 103
Weston, FL 33326-3255
Phone
(954) 217-5700
Fax
(954) 217-5704
NPI assigned
Jul 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 30007923 WA
Family Nurse Practitioner 363LF0000X 9275574 FL Primary

Addresses

Primary practice location

2300 N Commerce Pkwy Ste 103
Weston, FL 33326-3255

Mailing address

1700 NW 49TH St Ste 125
Fort Lauderdale, FL 33309-3750
Phone (954) 217-5700

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
I20090206000457 FL Practitioner - Nurse Practitioner 6709941719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

2300 N Commerce Pkwy
Suite 103
Weston, FL 33326-3255
Phone (954) 217-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9275574FLMDFamily Nurse Practitioner
30007923WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District CurrentSince Aug 19, 2019 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Nov 18, 2015 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Nov 18, 2015 Accepting new patients
Criticare Clinics Inc CurrentSince Jan 30, 2016 Accepting new patients
North Broward Hospital District Current Accepting new patients
North Broward Hospital District CurrentSince Aug 19, 2019 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients

Locations

6264 W Sample Rd
Ste 100
Coral Springs, FL 33067
Phone (954) 837-1010

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

2300 N Commerce Pkwy
Ste 103
Weston, FL 33326
Phone (954) 217-5700

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1093977902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-217-5700",
            "fax_number": "954-217-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY STE 103",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263255",
            "telephone_number": "954-217-5700",
            "fax_number": "954-217-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "30007923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9275574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.