Individual provider Active NPI

Kimberly A Pretlow, ARNP

  • Interventional Cardiology Physician
  • Melbourne, FL
National Provider Identifier
1215300561
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
APRN9264221 Issued in FL
Practice address
1324 Valentine St
Melbourne, FL 32901-3128
Phone
(321) 722-3288
Fax
(321) 722-3468
NPI assigned
Nov 9, 2015
Last updated
Jan 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9264221 FL
Adult Health Nurse Practitioner 363LA2200X ARNP9264221 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9264221 FL
Interventional Cardiology Physician 207RI0011X APRN9264221 FL Primary

Addresses

Primary practice location

1324 Valentine St
Melbourne, FL 32901-3128

Mailing address

1402 Oak St
Melbourne, FL 32901-3113
Phone (321) 722-3288

Other practice location 1

1402 Oak St
Melbourne, FL 32901-3113
Phone (321) 722-3288

Other identifiers 1

IdentifierTypeStateIssuer
017760000MedicaidFL

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
I20160808000142 FL Practitioner - Nurse Practitioner 9739483496 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9264221FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Central Florida, P.a. CurrentSince Sep 18, 2020 Accepting new patients
Stuart Cardiovascular Anesthesia Associates PLLC CurrentSince Apr 2, 2018 Accepting new patients
US Anesthesia Partners of Florida Inc. CurrentSince Jun 16, 2016 Accepting new patients
Cardiology Associates of Central Brevard LLC CurrentSince Dec 1, 2021 Accepting new patients
Charles H Croft MD PA Interventional Cardiology PastSince Jan 1, 2017 Accepting new patients
Passion Quest, Inc. Past Accepting new patients

Locations

700 Doctors Ct
Leesburg, FL 34748
Phone (352) 787-9838

1600 W Eau Gallie Blvd
Ste 102
Melbourne, FL 32935
Phone (321) 720-2860

2501 N Orange Ave
Ste 537N
Orlando, FL 32804
Phone (407) 894-4693

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

524 SE Osceola St
#100
Stuart, FL 34994
Phone (772) 419-2379

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEBHBA

Organizations & group practices 6

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": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1215300561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013113",
            "telephone_number": "321-722-3288",
            "fax_number": "321-722-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013128",
            "telephone_number": "321-722-3288",
            "fax_number": "321-722-3468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 Oak St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013113",
            "country_code": "US",
            "telephone_number": "321-722-3288",
            "fax_number": "321-722-3468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRETLOW",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9264221",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9264221",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9264221",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "APRN9264221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017760000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.