Individual provider Active NPI

Christian Adam Kendrick, ARNP

  • Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1205296407
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9320972 Issued in FL
Practice address
1286 Florida Ave S Ste 1
Rockledge, FL 32955-2400
Phone
(321) 636-7780
Fax
(321) 633-3043
NPI assigned
Mar 1, 2016
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9320972 FL Primary

Addresses

Primary practice location

1286 Florida Ave S Ste 1
Rockledge, FL 32955-2400

Mailing address

1286 Florida Ave S Ste 1
Rockledge, FL 32955-2400
Phone (321) 636-7780

Other practice location 1

1223 Gateway Dr Ste 1E
Melbourne, FL 32901-2607
Phone (321) 725-4505

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
I20180216001481 FL Practitioner - Nurse Practitioner 5395005177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Roberts and Bryan PAGroup PAC ID 3678563251, 14 clinicians

Practice addresses (Care Compare)

1286 S Florida Ave
Rockledge, FL 32955-2479
Phone (321) 636-7780

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Roberts & Bryan PA CurrentSince Dec 12, 2022 Accepting new patients
Brevard Physician Associates, PLLC Nurse Practitioner CurrentSince Aug 1, 2019 Accepting new patients
Atlantis Urgent Care, LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

2254 Highway A1A
Indian Harbour Beach, FL 32937
Phone (321) 626-0994

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

1223 Gateway Dr
Ste 1E
Melbourne, FL 32901
Phone (321) 725-4505

1223 Gateway Dr
Ste 2G
Melbourne, FL 32901

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

150 N Sykes Creek Pkwy
Ste 102
Merritt Island, FL 32953
Phone (321) 301-4747

1071 Port Malabar Blvd NE
Ste 101
Palm Bay, FL 32905
Phone (321) 636-7780

1286 Florida Ave S
Rockledge, FL 32955
Phone (321) 636-7780

1286 Florida Ave S
Ste 1
Rockledge, FL 32955
Phone (321) 636-7780

4500 S Hopkins Ave
Titusville, FL 32780
Phone (321) 264-2100

8059 Spyglass Hill Rd
Ste 103
Viera, FL 32940
Phone (321) 636-7780

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1205296407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S STE 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552400",
            "telephone_number": "321-636-7780",
            "fax_number": "321-633-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S STE 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552400",
            "telephone_number": "321-636-7780",
            "fax_number": "321-633-3043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-725-4505",
            "fax_number": "321-951-7408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "CHRISTIAN",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-01",
        "last_updated": "2022-12-09",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9320972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.