Individual provider Active NPI

Angela Dennis, APRN

  • Family Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1205409372
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014205 Issued in FL
Practice address
245 S Courtenay Pkwy
Merritt Island, FL 32952-4853
Phone
(321) 453-5326
Fax
(321) 452-8507
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11014205 FL Primary

Addresses

Primary practice location

245 S Courtenay Pkwy
Merritt Island, FL 32952-4853

Mailing address

245 S Courtenay Pkwy
Merritt Island, FL 32952-4853
Phone (321) 453-5326

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
I20230623003091 FL Practitioner - Nurse Practitioner 0547628489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Lung Associates, PAGroup PAC ID 4789665738, 18 clinicians

Practice addresses (Care Compare)

1314 Oak St
Melbourne, FL 32901-3111
Phone 3217277992114

Hospital & facility affiliations

  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316
  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291

Merit-based Incentive Payment System (MIPS)

Final score
93.35 of 100Reported as group
Quality
87.13
Promoting interoperability
100
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11014205FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Lung Associates, PA CurrentSince May 15, 2023 Accepting new patients
Brevard Nephrology Group PA Past Accepting new patients

Locations

1314 Oak St
Melbourne, FL 32901
Phone (321) 610-3907

32 Suntree Pl
Melbourne, FL 32940
Phone (321) 752-7001

1326 Malabar Rd SE
Ste 1
Palm Bay, FL 32907
Phone 3217277992 ext. 114

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72643
  • Direct secure messaging: a.dennisarnp@independentlung.medentdirect.com

Organizations & group practices 2

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 6

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1205409372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524853",
            "telephone_number": "321-453-5326",
            "fax_number": "321-452-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524853",
            "telephone_number": "321-453-5326",
            "fax_number": "321-452-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "ANGELA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.