Individual provider Active NPI

Melissa Sepe, APRN

  • Family Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1396222824
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3400222 Issued in FL
Practice address
325 Clyde Morris Blvd
Ormond Beach, FL 32174
Phone
(386) 676-2367
Fax
(386) 615-6402
NPI assigned
Jul 27, 2018
Last updated
Jan 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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 APRN3400222 FL Primary

Addresses

Primary practice location

325 Clyde Morris Blvd
Ormond Beach, FL 32174

Mailing address

325 Clyde Morris Blvd Ste 320
Ormond Beach, FL 32174-8179
Phone (386) 231-6325

Other practice location 1

150 Southpark Blvd Ste 102
St Augustine, FL 32086
Phone (904) 466-1197

Other identifiers 1

IdentifierTypeStateIssuer
ARNP3400222OtherFLFL LICENSE

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
I20180920003530 FL Practitioner - Nurse Practitioner 3577814110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

325 Clyde Morris Blvd
Suite 320
Ormond Beach, FL 32174-8179
Phone (386) 676-2367

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN3400222FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family CurrentSince Aug 1, 2023 Accepting new patients
Orthonorthrup PA Sports Medicine CurrentSince Jul 31, 2018 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

325 Clyde Morris Blvd
Ste 320
Ormond Beach, FL 32174
Phone (386) 676-2367

150 Southpark Blvd
Ste 102
St Augustine, FL 32086
Phone (904) 823-3764

475 W Town Pl
Ste 106
St Augustine, FL 32092
Phone (904) 466-1197

Interoperability endpoints

  • Direct secure messaging: msepe68068@adventhealth.direct-ci.com

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 4

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1396222824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD STE 320",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748179",
            "telephone_number": "386-231-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "32174",
            "telephone_number": "386-676-2367",
            "fax_number": "386-615-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Southpark Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "32086",
            "country_code": "US",
            "telephone_number": "904-466-1197",
            "fax_number": "904-823-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPE",
        "first_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3400222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ARNP3400222",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.