Active NPI
Melissa Rose Cordova, ARNP
- Family Nurse Practitioner
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9325307
- Practice address
- 1134 Kyle Wood LN
Brandon, FL 33511-4850 - Phone
- (813) 850-7434
- Fax
- (813) 482-9794
- NPI assigned
- Aug 14, 2018
- Last updated
- Aug 14, 2018
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9325307 | FL | Primary |
Addresses
Primary practice location
1134 Kyle Wood LN
Brandon, FL 33511-4850
Mailing address
1134 Kyle Wood LN
Brandon, FL 33511-4850
Phone (813) 850-7434
Other names 1
- Melissa Rose Marfat
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
609 Medical Care Dr
Brandon, FL 33511-5942
Phone (813) 685-5100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.72 of 100
- Quality
- 90.95
- Improvement activities
- 40
- Cost
- 77.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9325307 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Care PL | Current | Accepting new patients |
Locations
215 Lithia Pinecrest Rd
Brandon, FL 33511
Phone (813) 681-2300
609 Medical Care Dr
Brandon, FL 33511
Phone (813) 662-3200
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACBEBA
- https://fhir4.healow.com/fhir/r4/ACBEBA/Endpoint/ACBEBA
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Brandon, FL
- NPI 1710283270
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1124507751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 KYLE WOOD LN",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114850",
"telephone_number": "813-850-7434",
"fax_number": "813-482-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 KYLE WOOD LN",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114850",
"telephone_number": "813-850-7434",
"fax_number": "813-482-9794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "MELISSA",
"middle_name": "ROSE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9325307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "MARFAT",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.