NPIMap

Organization Active NPI

Holmes Regional Medical Center, Inc.

Doing business as First Flight

  • Air Ambulance
  • Melbourne, FL
National Provider Identifier
1235312281
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
HOLMES REGIONAL MEDICAL CENTER, INC.
Doing business as
First Flight
Practice address
1350 Hickory St
Melbourne, FL 32901-3224
Phone
(321) 434-7000
NPI assigned
Dec 13, 2007
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLMES REGIONAL MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Kristen Pulio
Title
Evp Cfo
Phone
(301) 315-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X FL Primary

Addresses

Primary practice location

1350 Hickory St
Melbourne, FL 32901-3224

Mailing address

PO Box 749206
Atlanta, GA 30374-9206
Phone (321) 434-5055

Other identifiers 1

IdentifierTypeStateIssuer
420020900MedicaidFL

Other names 1

  • First Flight Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000482 FL Part A Provider - Hospital 7214908771 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Melbourne, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235312281. Details of each certification follow.

Hospital certification: CCN 100019

Legal name
HOLMES REGIONAL MEDICAL CENTER, INC.
Doing business as
HOLMES REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 6, 2011
Beds
514
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1350 Hickory St
Melbourne, FL 32901-3224
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Holmes Regional Medical CenterCCN 100019 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Holmes Regional Medical11 organizations share this tax ID, including this one
Part of
Holmes Regional Medical

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1051 Hickory St
Ste F
Melbourne, FL 32901
Phone (321) 434-7100

1377 General Aviation Dr
Melbourne, FL 32935

3661 S Babcock St
Ste 115
Melbourne, FL 32901
Phone (321) 434-1660

611 Sheridan Rd
Fl 2
Melbourne, FL 32901
Phone (321) 434-5231

611 Sheridan Rd
Fl 3
Melbourne, FL 32901
Phone (321) 434-5231

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kristen Pulio Individual Corporate OfficerEvp/Cfo Sep 23, 2024
Robert Henry Individual Corporate DirectorBoard Member May 1, 2017
Health First Shared Services, Inc Organization, Rockledge, FL Corporation Operational/Managerial Control Sep 30, 2020
Terry Lee Forde Individual Corporate OfficerCeo Aug 5, 2024
James C Shaw Individual Corporate Director Nov 2, 2010
Anthony H Tran Individual Corporate DirectorBoard Member/Ex Officio Jan 1, 2018
Kim K Patrick Individual Corporate DirectorBoard of Directors Oct 1, 2022
Larry S Bishop Individual Corporate DirectorBoard of Directors Oct 1, 2022
Nicholas W Romanello Individual Corporate OfficerAsst Secretary Jun 1, 2017
W-2 Managing EmployeeSr VP Counsel Chief Risk Officer Jun 1, 2017
Scott T Mikuen Individual Corporate DirectorBoard Member Oct 1, 2019
Dana Kiborne Individual Corporate DirectorBoard Member Jan 1, 2018
Joseph a Gurri Individual Corporate DirectorBoard Member May 1, 2017
T. Kent Smith Individual Corporate DirectorBoard Member Jan 1, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

Affiliated clinicians 1,184

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,184

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1235312281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749206",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749206",
            "telephone_number": "321-434-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013224",
            "telephone_number": "321-434-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLMES REGIONAL MEDICAL CENTER, INC.",
        "enumeration_date": "2007-12-13",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "PULIO",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "EVP CFO",
        "authorized_official_telephone_number": "301-315-3569"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420020900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Flight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Flight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.