Mary Rachael Hutchison, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11007107 Issued in FL

Practice address

218 Birch St
Titusville, FL 32780-6621

Phone

(321) 362-4103

Fax

(321) 395-5945

NPI assigned

May 17, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Titusville Medical Center Inc

  • Health Service Clinic/Center
  • Titusville, FL
  • NPI 1821031683
  Medicare reassignment NPD
• Brevard Geriatrics, LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Melbourne, FL
  • NPI 1225682784
  NPD

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1225650898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 COLUMBIA BLVD # 1067",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327807820",
            "telephone_number": "321-362-4103",
            "fax_number": "321-395-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BIRCH ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806621",
            "telephone_number": "321-362-4103",
            "fax_number": "321-395-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "MARY",
        "middle_name": "RACHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hulsizer, LCSW
• Rebecca J Human, APRN
• Eric Peder Hunstad, L.AC
• Shauna Lyn Hunt, RBT
• Camille Lanelle Hunter, LCSW
• Jad Ibrahim
• Imperial Rehabilitation Services, Inc.
• Imran Rashid MD PA
• Indian River Medical Office PA
• Indian River Medical Office PA

• Family Nurse Practitioner in Titusville, FL
• Providers in Titusville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.