Individual provider Active NPI

Lindsey Buescher Witzel

  • Family Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1285143131
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9350234 Issued in FL
Practice address
6420 3Rd St Ste 104
Rockledge, FL 32955-5788
Phone
(321) 757-9711
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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 ARNP9350234 FL Primary

Addresses

Primary practice location

6420 3Rd St Ste 104
Rockledge, FL 32955-5788

Mailing address

6420 3Rd St Ste 104
Rockledge, FL 32955-5788
Phone (321) 757-9711

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
I20180223000919 FL Practitioner - Nurse Practitioner 5496016057 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9350234FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Surgery Center Support Services CurrentSince Jan 8, 2024 Accepting new patients

Locations

719 E New Haven Ave
Melbourne, FL 32901
Phone (321) 727-2020

502 E New Haven Ave
Melbourne, FL 32901
Phone (321) 727-2020

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": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1285143131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 3RD ST STE 104",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555788",
            "telephone_number": "321-757-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 3RD ST STE 104",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555788",
            "telephone_number": "321-757-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZEL",
        "first_name": "LINDSEY",
        "middle_name": "BUESCHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9350234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.