Active NPI
Angela Dennis, APRN
- Family Nurse Practitioner
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11014205
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
1314 Oak St
Melbourne, FL 32901-3111
Phone 3217277992114
Hospital & facility affiliations
- Palm Bay Hospital
- Holmes Regional Medical Center
- Viera Hospital
- Cape Canaveral Hospital
- Orlando Health Melbourne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.35 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11014205 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Lung Associates, PA | Current | 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
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72643
- 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.
-
- Nephrology Physician
- Merritt Island, FL
- NPI 1003029786
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.