Individual provider Active NPI

Christi Fatima Forster, FNP-BC

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1396359568
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008914 Issued in FL
Practice address
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone
(321) 434-6366
Fax
(321) 722-1237
NPI assigned
Sep 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11008914 FL
Family Nurse Practitioner 363LF0000X APRN11008914 FL Primary

Addresses

Primary practice location

1223 Gateway Dr
Melbourne, FL 32901-2607

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 434-6366

Other practice location 1

730 Malabar Rd
Malabar, FL 32950-3140
Phone (321) 434-6336

Other identifiers 2

IdentifierTypeStateIssuer
QI944OtherFLMEDICARE HF
108157000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Melbourne

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
I20210413001490 FL Practitioner - Nurse Practitioner 1052729027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Jan 9, 2021 Accepting new patients
Health First Medical Group, LLC CurrentSince Mar 20, 2023 Accepting new patients
Health First Medical Group, LLC CurrentSince Mar 20, 2023 Accepting new patients
Florida Department of Health CurrentSince Jan 9, 2021 Accepting new patients
Florida Department of Health Past Accepting new patients

Locations

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

730 Malabar Rd
Ste B
Malabar, FL 32950
Phone (321) 549-0696

730 Malabar Rd
Malabar, FL 32950
Phone (321) 409-6800

1223 Gateway Dr
Ste 1D
Melbourne, FL 32901
Phone (321) 729-6166

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

601 E University Blvd
Melbourne, FL 32901
Phone (321) 615-9337

2575 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 454-7148

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

2555 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 615-9337

2565 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 409-2136

Interoperability endpoints

  • Direct secure messaging: cforster22646@epicdirect.hf.org

Organizations & group practices 5

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 3

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1396359568",
    "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": "321-434-6366",
            "fax_number": "321-722-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-434-6366",
            "fax_number": "321-722-1237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Malabar Rd",
            "address_purpose": "LOCATION",
            "city": "Malabar",
            "state": "FL",
            "postal_code": "329503140",
            "country_code": "US",
            "telephone_number": "321-434-6336",
            "fax_number": "321-722-1237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORSTER",
        "first_name": "CHRISTI",
        "middle_name": "FATIMA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008914",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "QI944",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108157000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Melbourne",
            "affiliation": "N",
            "address_1": "1223 Gateway Dr Ste 1D",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329012607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.