Individual provider Active NPI

Melissa Karen Aull, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Harbor, FL
National Provider Identifier
1386312353
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11015487 Issued in FL
Practice address
34650 US Highway 19 N Ste 206
Palm Harbor, FL 34684-2157
Phone
(833) 769-3524
Fax
(727) 939-6062
NPI assigned
Sep 2, 2021
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015487 FL Primary

Addresses

Primary practice location

34650 US Highway 19 N Ste 206
Palm Harbor, FL 34684-2157

Mailing address

34650 US Highway 19 N Ste 206
Palm Harbor, FL 34684-2157
Phone (833) 769-3524

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
I20220331002220 FL Practitioner - Nurse Practitioner 6406248541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

6718 Lake Nona Blvd
Lifestance Health
Orlando, FL 32827-7729
Phone (407) 476-1222

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Mar 17, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Mar 17, 2022 Accepting new patients
Personal Recovery Network LLC CurrentSince Jan 3, 2023 Accepting new patients

Locations

725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

6718 Lake Nona Blvd
Orlando, FL 32827
Phone (407) 476-1222

34650 US Highway 19 N
Ste 206
Palm Harbor, FL 34684
Phone (727) 493-9940

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.melissaaull@141363.advancedmd-direct.com

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

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1386312353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34650 US HIGHWAY 19 N STE 206",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842157",
            "telephone_number": "833-769-3524",
            "fax_number": "727-939-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34650 US HIGHWAY 19 N STE 206",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842157",
            "telephone_number": "833-769-3524",
            "fax_number": "727-939-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULL",
        "first_name": "MELISSA",
        "middle_name": "KAREN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.