Individual provider Active NPI

Karen Marie Kovatsi, APRN

  • Adult Health Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1265104533
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11015775 Issued in FL
Practice address
2231 Timberlake Cir
Vero Beach, FL 32966-4902
Phone
(772) 877-9996
NPI assigned
Oct 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 11015775 FL Primary

Addresses

Primary practice location

2231 Timberlake Cir
Vero Beach, FL 32966-4902

Mailing address

PO Box 690054
Vero Beach, FL 32969-0054
Phone (772) 877-9996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621001205 FL Practitioner - Nurse Practitioner 5597107847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11015775FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Geriatrics, LLC CurrentSince May 20, 2024 Accepting new patients

Locations

3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593

720 E New Haven Ave
Ste 11
Melbourne, FL 32901
Phone (254) 236-5079

8050 Spyglass Rd
Viera, FL 32940
Phone (321) 752-1000

Organizations & group practices 1

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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1265104533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690054",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329690054",
            "telephone_number": "772-877-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 TIMBERLAKE CIR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329664902",
            "telephone_number": "772-877-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVATSI",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11015775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.