Dorothy Dawn Ibasco, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 9352814 Issued in FL

Practice address

450 E Merritt Island Cswy Ste 200
Merritt Island, FL 32952-3503

Phone

(321) 735-6220

Fax

(321) 507-4638

NPI assigned

Jan 23, 2015

Last updated

May 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Pain Relief Group PLLCGroup PAC ID 4688960271, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dorothy.ibasco@ppoa.directbygreenway.com

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.

• Florida Pain Relief Group PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1376994608
  Medicare reassignment Care Compare group
• Charles K Friedman DO PA

  dba Pain Relief Centers

  • Interventional Pain Medicine Physician
  • St Petersburg, FL
  • NPI 1982622775
  Medicare reassignment NPD
• Richard L Smith MD PA

  dba Pain Relief Center

  • Interventional Pain Medicine Physician
  • Orlando, FL
  • NPI 1427321587
  Medicare reassignment NPD
• Legacy Physiatry Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Plano, TX
  • NPI 1316078769

  FL

  Medicare reassignment NPD
• Richard L Smith MD PA

  dba Pain Relief Centers

  • Interventional Pain Medicine Physician
  • Orlando, FL
  • NPI 1245709278
  NPD
• Physician Partners of America Crna Operations LLC

  • Anesthesiology Physician
  • Hurst, TX
  • NPI 1992129365
  NPD
• Pain Management of Brevard PLC

  • Pain Medicine (Anesthesiology) Physician
  • Merritt Island, FL
  • NPI 1457306441
  NPD (past)

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1356731715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 947387",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303947387",
            "telephone_number": "407-447-7120",
            "fax_number": "407-770-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E MERRITT ISLAND CSWY STE 200",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523503",
            "telephone_number": "321-735-6220",
            "fax_number": "321-507-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Spyglass Ct Ste 310",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407948",
            "country_code": "US",
            "telephone_number": "321-735-6218",
            "fax_number": "321-499-4717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6320 Old Winter Garden Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328351381",
            "country_code": "US",
            "telephone_number": "407-290-0555",
            "fax_number": "407-295-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBASCO",
        "first_name": "DOROTHY DAWN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9352814",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "APRN9352814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014492800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willie James Humphrey, D.D.S.
• Paula Hurd, PHARMD
• Taher Husainy, MD
• Monica Hyder
• Marina Margarita Ianni-Navea, LPN
• Indian River Paradise LLC (Banana River Paradise Villas)
• Melody A Ingalls, HAS
• Integrative Bodywork
• Ionyx Medspa and Wellness Club Inc
• Joni Irwin, COTA/L

• Family Nurse Practitioner in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.