Active NPI
Darla Ann Lagorse, NNP
- Neonatal Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- APRN11032193
- Practice address
- 1350 Hickory St
Melbourne, FL 32901-3224 - Phone
- (407) 303-2528
- NPI assigned
- Sep 16, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704224783 | MI | |
| Neonatal Nurse Practitioner | 363LN0000X | 4704224783 | MI | |
| Neonatal Nurse Practitioner | 363LN0000X | APRN11032193 | FL | Primary |
Addresses
Primary practice location
1350 Hickory St
Melbourne, FL 32901-3224
Mailing address
1350 Hickory St
Melbourne, FL 32901-3224
Phone (407) 303-2528
Other practice location 1
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 936-4000
Other practice location 2
605 Oak St
Big Rapids, MI 49307-2048
Phone (231) 592-4433
Other names 1
- Darla Ann Eikelboom
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deikelboom178982@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191211000528 | MI | Practitioner - Nurse Practitioner | 0042643710 | Reassigns benefits to 6 organizations |
| I20250523001903 | FL | Practitioner - Nurse Practitioner | 0042643710 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11032193 | FL | MD | Neonatal Nurse Practitioner |
| 4704224783 | MI | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center of West Michigan | Current | Accepting new patients | |
| Spectrum Health United | Current | Accepting new patients | |
| Mecosta County Medical Center | Nurse Practitioner | Current | Accepting new patients |
| Regents of the University of Michigan | Current | Accepting new patients | |
| Mecosta County Medical Center | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Regents of the University of Michigan | Nurse Practitioner | Current | Accepting new patients |
| Memorial Medical Center of West Michigan | Current | Accepting new patients | |
| Newaygo County General Hospital Association | Current | Accepting new patients | |
| Newaygo County General Hospital Association | Current | Accepting new patients | |
| Pennock Hospital | Nurse Practitioner | Current | Accepting new patients |
| Mecosta County Medical Center | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Spectrum Health United | Current | Accepting new patients | |
| Pennock Hospital | Current | Accepting new patients | |
| Neo Natal Associates PLC | Past | Accepting new patients |
Locations
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1500 E Medical Center Dr
Fl Cs
Ann Arbor, MI 48109
Phone (734) 615-7845
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1227 W State St
Belding, MI 48809
Phone (616) 794-0800
605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079
212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
Interoperability endpoints
- dlagorse3538720@direct.trinity-health.org
- dlagorse178982@epic00.corewelldirect.org
- deikelboom178982@epic00.shdirect.org
Organizations & group practices 16
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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
FL, Nurse Practitioner
-
- General Acute Care Hospital
- Ludington, MI
- NPI 1972589489
MI
-
- Nurse Practitioner
- Ann Arbor, MI
- NPI 1447275102
MI, Nurse Practitioner
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- General Acute Care Hospital
- Big Rapids, MI
- NPI 1316945991
-
- Family Medicine Physician
- Big Rapids, MI
- NPI 1366730566
Nurse Practitioner
-
- Family Medicine Physician
- Ludington, MI
- NPI 1144639360
-
- Critical Access Hospital
- Fremont, MI
- NPI 1063836963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1164072773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "407-303-2528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HICKORY ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013224",
"telephone_number": "407-303-2528"
}
],
"practiceLocations": [
{
"address_1": "1500 E Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481095000",
"country_code": "US",
"telephone_number": "734-936-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "605 Oak St",
"address_purpose": "LOCATION",
"city": "Big Rapids",
"state": "MI",
"postal_code": "493072048",
"country_code": "US",
"telephone_number": "231-592-4433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAGORSE",
"first_name": "DARLA",
"middle_name": "ANN",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-16",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704224783",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MI",
"license": "4704224783",
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "FL",
"license": "APRN11032193",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deikelboom178982@epic00.shdirect.org",
"affiliation": "N",
"address_1": "605 Oak St",
"city": "Big Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "493072048",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "605 Oak St",
"city": "Big Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "493072048",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DARLA",
"last_name": "EIKELBOOM",
"middle_name": "ANN",
"credential": "NNP",
"code": "1",
"type": "Former Name"
}
]
}
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 May 21, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.