Individual provider Active NPI

Melissa Rachel Scully

  • Adult Health Nurse Practitioner
  • Cocoa Beach, FL
National Provider Identifier
1356989156
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11005369 Issued in FL
Practice address
699 W Cocoa Beach Cswy Ste 601
Cocoa Beach, FL 32931-3562
Phone
(321) 868-5833
Fax
(321) 868-5854
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11005369 FL Primary

Addresses

Primary practice location

699 W Cocoa Beach Cswy Ste 601
Cocoa Beach, FL 32931-3562

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 868-5833

Other practice location 1

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3577
Phone (321) 868-5833

Other identifiers 2

IdentifierTypeStateIssuer
109658200MedicaidFL
P9072OtherFLHF MA

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
I20210219000570 FL Practitioner - Nurse Practitioner 9638584956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

699 W Cocoa Beach Cswy
Suite 601
Cocoa Beach, FL 32932-3562
Phone (321) 868-5833

Hospital & facility affiliations

  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Geriatrics, LLC CurrentSince Jan 25, 2021 Accepting new patients
Health First Medical Group, LLC CurrentSince Feb 6, 2023 Accepting new patients
Health First Medical Group, LLC CurrentSince Feb 6, 2023 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

699 W Cocoa Beach Cswy
Ste 601
Cocoa Beach, FL 32931
Phone (321) 783-2486

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 549-0815

720 E New Haven Ave
Ste 11
Melbourne, FL 32901
Phone (254) 236-5079

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

8050 Spyglass Rd
Viera, FL 32940
Phone (321) 752-1000

Interoperability endpoints

  • Direct secure messaging: mscully26913@epicdirect.hf.org

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.

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1356989156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-868-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W COCOA BEACH CSWY STE 601",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313562",
            "telephone_number": "321-868-5833",
            "fax_number": "321-868-5854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "699 W Cocoa Beach Cswy",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313577",
            "country_code": "US",
            "telephone_number": "321-868-5833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "MELISSA",
        "middle_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11005369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109658200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HF MA",
            "identifier": "P9072",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.