Individual provider Active NPI

Melissa Nichole Collins, APRN

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1245849694
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07201461 Issued in FL
Practice address
451 N Maitland Ave
Maitland, FL 32751-4725
Phone
(386) 882-0044
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 F07201461 FL Primary

Addresses

Primary practice location

451 N Maitland Ave
Maitland, FL 32751-4725

Mailing address

629 Ashberry LN
Altamonte Springs, FL 32714-7409
Phone (386) 882-0044

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
I20211026000657 FL Practitioner - Nurse Practitioner 1355739210 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07201461FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Partners LLC CurrentSince Oct 13, 2021 Accepting new patients
Fairbanks Partners LLC CurrentSince Oct 13, 2021 Accepting new patients

Locations

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

265 E Rollins St
Ste 12000
Orlando, FL 32804

1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBACD

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.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1245849694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 ASHBERRY LN",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147409",
            "telephone_number": "386-882-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 N MAITLAND AVE",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514725",
            "telephone_number": "386-882-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MELISSA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F07201461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.