Organization Active NPI

Oceanview Internal Medicine, LLC

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1295533057
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
OCEANVIEW INTERNAL MEDICINE, LLC
Practice address
1694 W Hibiscus Blvd Ste a
Melbourne, FL 32901-2636
Phone
(321) 327-2177
NPI assigned
Mar 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Authorized official

Name
Jennifer Mahl, APRNNPI 1457628984
Title
Owner
Phone
(321) 327-2177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1694 W Hibiscus Blvd Ste a
Melbourne, FL 32901-2636

Mailing address

1694 W Hibiscus Blvd Ste a
Melbourne, FL 32901-2636
Phone (321) 327-2177

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2319562Oceanview Internal Medicine LLC1694 W Hibiscus Blvd Ste a, Melbourne, FL 32901Certificate of waiverMar 3, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746835200000",
    "number": "1295533057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 W HIBISCUS BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012636",
            "telephone_number": "321-327-2177",
            "fax_number": "321-327-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 W HIBISCUS BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012636",
            "telephone_number": "321-327-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANVIEW INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A",
        "authorized_official_last_name": "MAHL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-327-2177",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.