Individual provider Active NPI

Devin Wunder

  • Anesthesiologist Assistant
  • Melbourne, FL
National Provider Identifier
1154217412
Registry record updated Jun 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Practice address
1350 Hickory St FL 32901
Melbourne, FL 32901-3278
Phone
(321) 434-7000
NPI assigned
Jun 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X Primary

Addresses

Primary practice location

1350 Hickory St FL 32901
Melbourne, FL 32901-3278

Mailing address

361 Grove St
New Milford, NJ 07646-1822
Phone (201) 580-1136

Other practice location 1

1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8000

Other practice location 2

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-5595
Phone (321) 799-7111

Other practice location 3

8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028001616 FL Practitioner - Anesthesiology Assistant 4880183185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Physician Associates, PLLC Anesthesiologist Assistant CurrentSince Nov 1, 2025 Accepting new patients

Locations

701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000

8745 N Wickham Rd
Viera, FL 32940
Phone (321) 434-7191

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 and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1749859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749859200000",
    "number": "1154217412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 GROVE ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076461822",
            "telephone_number": "201-580-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HICKORY ST FL 32901",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013278",
            "telephone_number": "321-434-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Malabar Rd NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329072506",
            "country_code": "US",
            "telephone_number": "321-434-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Cocoa Beach Cswy",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329315595",
            "country_code": "US",
            "telephone_number": "321-799-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8745 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329405997",
            "country_code": "US",
            "telephone_number": "321-434-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNDER",
        "first_name": "DEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-14",
        "last_updated": "2025-06-14",
        "certification_date": "2025-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.