Active NPI
Abby Nelson
- Physician Assistant
- Port St Lucie, FL
National Provider Identifier
1114816550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1881 SE Tiffany Ave Ste 301
Port St Lucie, FL 34952-7567 - Phone
- (772) 335-8499
- Fax
- (772) 335-8499
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | FL | Primary |
Addresses
Primary practice location
1881 SE Tiffany Ave Ste 301
Port St Lucie, FL 34952-7567
Mailing address
708 Hillcrest Dr
Brandenburg, KY 40108-1424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1114816550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 HILLCREST DR",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401081424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 SE TIFFANY AVE STE 301",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527567",
"telephone_number": "772-335-8499",
"fax_number": "772-335-8499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ABBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.