Individual provider Active NPI

Michele Dimberg, ARNP

  • Family Nurse Practitioner
  • Indian Harbour Beach, FL
National Provider Identifier
1326407917
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP934542 Issued in FL
Practice address
2254 A1A Hwy
Indian Harbour Beach, FL 32937-4922
Phone
(321) 920-2978
NPI assigned
Feb 11, 2016
Last updated
Feb 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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 ARNP934542 FL Primary

Addresses

Primary practice location

2254 A1A Hwy
Indian Harbour Beach, FL 32937-4922

Mailing address

2254 A1A Hwy
Indian Harbour Beach, FL 32937-4922
Phone (321) 920-2978

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
I20160411001533 FL Practitioner - Nurse Practitioner 7719285576 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brevard Physician Associates PLLCGroup PAC ID 1850535048, 221 clinicians
Atlantis Urgent Care LLCGroup PAC ID 6305895111, 9 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000

2254 Hwy A1A
Indian Harbour Beach, FL 32937-4922
Phone (321) 777-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP934542FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Physician Associates, PLLC CurrentSince Jul 1, 2016 Accepting new patients
Atlantis Urgent Care, LLC CurrentSince Feb 11, 2016 Accepting new patients

Locations

2254 Highway A1A
Indian Harbour Beach, FL 32937
Phone (321) 626-0994

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

1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000

Interoperability endpoints

  • Direct secure messaging: mdimberg71364@epicdirect.hf.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1326407917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 A1A HWY",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374922",
            "telephone_number": "321-920-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 A1A HWY",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374922",
            "telephone_number": "321-920-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMBERG",
        "first_name": "MICHELE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP934542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Harbour Beach, FL

Sources for this page

Verify at the official NPI Registry.