Individual provider Active NPI

Melanie W Waters, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1356879498
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
STUDENT Issued in FL
Practice address
1500 SW 1St Ave
Ocala, FL 34471
Phone
(352) 402-5331
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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 STUDENT FL Primary

Addresses

Primary practice location

1500 SW 1St Ave
Ocala, FL 34471

Mailing address

1500 SW 1St Ave
Ocala, FL 34471-6504

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
I20171128001442 FL Practitioner - Nurse Practitioner 4981961083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Health Care and Physical Medicine Ocala LLCGroup PAC ID 9830331057, 2 clinicians

Practice addresses (Care Compare)

3773 S Pine Ave
Ocala, FL 34471-6608
Phone (352) 369-6325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
STUDENTFLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Florida Inc. CurrentSince Oct 24, 2021 Accepting new patients
Integrative Health Care and Physical Medicine Ocala LLC CurrentSince Dec 28, 2023 Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients

Locations

1440 N Nova Rd
Ste 305
Daytona Beach, FL 32117
Phone (386) 258-8680

3773 S Pine Ave
Ocala, FL 34471
Phone (352) 369-6325

3256 S Pine Ave
Ocala, FL 34471
Phone (352) 401-1919

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

3256 S Pine Ave
Ste 301
Ocala, FL 34471
Phone (352) 369-6325

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

Organizations & group practices 3

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1356879498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-402-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "MELANIE",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "STUDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.