Individual provider Active NPI

Shannon Bray, MSN, APRN, FNP-C

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1235859307
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11039454 Issued in FL
Practice address
1130 Hickory St Ste B
Melbourne, FL 32901-1973
Phone
(321) 752-0944
Fax
(321) 434-7590
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11039454 FL Primary

Addresses

Primary practice location

1130 Hickory St Ste B
Melbourne, FL 32901-1973

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 752-0944

Other practice location 1

1223 Gateway Dr Ste 1D
Melbourne, FL 32901-2607
Phone (321) 752-0944

Other identifiers 2

IdentifierTypeStateIssuer
VQ179OtherFLHFMG
127439000MedicaidFL

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
I20250710004229 FL Practitioner - Nurse Practitioner 1951816859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1130 Hickory St
Melbourne, FL 32901-1973
Phone (321) 725-4500

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

8725 N Wickham Rd
Melbourne, FL 32940-2240

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11039454FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Health First Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1301 W Eau Gallie Blvd
Ste 112
Melbourne, FL 32935
Phone (321) 255-5915

1130 Hickory St
Melbourne, FL 32901
Phone (321) 409-1956

1223 Gateway Dr
#1D
Melbourne, FL 32901
Phone (321) 361-5677

1223 Gateway Dr
Ste 1D
Melbourne, FL 32901
Phone (321) 729-6166

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

1130 Hickory St
Ste B
Melbourne, FL 32901
Phone (321) 752-0944

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

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 2

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1235859307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-752-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HICKORY ST STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011973",
            "telephone_number": "321-752-0944",
            "fax_number": "321-434-7590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 Gateway Dr Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012607",
            "country_code": "US",
            "telephone_number": "321-752-0944",
            "fax_number": "321-434-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "SHANNON",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11039454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "VQ179",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127439000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.