Individual provider Active NPI

Heather Elysabeth Capps, APRN, FNP-C

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1235788787
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004365 Issued in FL
Practice address
206 E New Haven Ave
Melbourne, FL 32901-4504
Phone
(321) 802-3311
NPI assigned
Sep 7, 2019
Last updated
May 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004365 FL Primary
Family Medicine Physician 207Q00000X RN9383813 FL

Addresses

Primary practice location

206 E New Haven Ave
Melbourne, FL 32901-4504

Mailing address

206 E New Haven Ave
Melbourne, FL 32901-4504
Phone (904) 718-2197

Other practice location 1

3425 Hawks Hill Trl
Tallahassee, FL 32312-3656
Phone (904) 718-2197

Other practice location 2

1690 N Monroe St
Tallahassee, FL 32303-5533
Phone (850) 385-2222

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
I20200131002666 FL Practitioner - Nurse Practitioner 6608202130 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9383813FLMDFamily Medicine Physician
11004365FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patients First Lake Ella Medical Center P a Family Medicine CurrentSince Dec 23, 2019 Accepting new patients
Rockledge Emergency Group LLC CurrentSince May 24, 2022 Accepting new patients
Brevard Physician Associates, PLLC CurrentSince May 1, 2025 Accepting new patients
Patients First Northampton Medical Center P a Family Medicine Current Accepting new patients
Patients First Raymond Diehl Medical Center PA Family Medicine PastSince Oct 1, 2019 Accepting new patients

Locations

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

1690 N Monroe St
Tallahassee, FL 32303
Phone (850) 385-2222

1705 Mahan Dr
Tallahassee, FL 32308
Phone (850) 877-7164

2907 Kerry Forest Pkwy
Tallahassee, FL 32309
Phone (850) 668-3380

590 Lanier Ave W
Fayetteville, GA 30214

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1235788787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014504",
            "telephone_number": "904-718-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014504",
            "telephone_number": "321-802-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3425 Hawks Hill Trl",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323123656",
            "country_code": "US",
            "telephone_number": "904-718-2197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1690 N Monroe St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323035533",
            "country_code": "US",
            "telephone_number": "850-385-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "HEATHER",
        "middle_name": "ELYSABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004365",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "RN9383813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.