Individual provider Active NPI

Melanie E. Dinsmore, FNP-BC

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1215378831
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9445297 Issued in FL
Practice address
3801 S Kanner Hwy Ste 300
Stuart, FL 34994-4801
Phone
(772) 223-4999
Fax
(772) 223-4949
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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 ARNP9445297 FL Primary

Addresses

Primary practice location

3801 S Kanner Hwy Ste 300
Stuart, FL 34994-4801

Mailing address

PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832

Other identifiers 2

IdentifierTypeStateIssuer
DCRGKOtherFLFLORIDA BLUE
020498700MedicaidFL

Other names 1

  • Melanie E. Davis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdinsmore49942@direct.martinhealth.org

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
I20170602001617 FL Practitioner - Nurse Practitioner 7719111806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3801 S Kanner Hwy
Suite 300
Stuart, FL 34994
Phone (772) 223-4999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

3066 SW Martin Downs Blvd
Ste C
Palm City, FL 34990
Phone (772) 781-2791

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

3801 S Kanner Hwy
Ste 200
Stuart, FL 34994
Phone (772) 223-4978

509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 221-2003

3801 S Kanner Hwy
Ste 300
Stuart, FL 34994
Phone (772) 223-4978

Interoperability endpoints

  • Direct secure messaging: mdinsmore2496243@direct.ccf.org

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 3

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1215378831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950417",
            "telephone_number": "772-223-2832",
            "fax_number": "772-223-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S KANNER HWY STE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944801",
            "telephone_number": "772-223-4999",
            "fax_number": "772-223-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINSMORE",
        "first_name": "MELANIE",
        "middle_name": "E.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9445297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "DCRGK",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020498700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdinsmore49942@direct.martinhealth.org",
            "affiliation": "N",
            "address_1": "3801 S Kanner Hwy Ste 300",
            "city": "Stuart",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349944801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "DAVIS",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.