Individual provider Active NPI

Kim Cantello-Baker, APRN

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1407296734
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9250144 Issued in FL
Practice address
240 N Wickham Rd Ste 309
Melbourne, FL 32935-8661
Phone
(321) 752-1630
Fax
(321) 690-6578
NPI assigned
Jul 1, 2013
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9250144 FL
Adult Health Nurse Practitioner 363LA2200X APRN9250144 FL Primary
Family Nurse Practitioner 363LF0000X APRN9250144 FL

Addresses

Primary practice location

240 N Wickham Rd Ste 309
Melbourne, FL 32935-8661

Mailing address

240 N Wickham Rd Ste 309
Melbourne, FL 32935-8661
Phone (321) 752-1630

Other practice location 1

275 18th St Ste 102
Vero Beach, FL 32960-0824
Phone (772) 562-6818

Other practice location 2

13845 US Highway 1
Sebastian, FL 32958-3232
Phone (772) 589-9071

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
I20131220000320 FL Practitioner - Nurse Practitioner 9335376268 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

13845 US Hwy 1
Suite 3
Sebastian, FL 32958-3232
Phone (772) 562-6818

240 N Wickham Rd
Suite 309
Melbourne, FL 32935-8661
Phone (321) 752-1630

275 18TH St
Suite 102
Vero Beach, FL 32960-0824
Phone (770) 312-5226

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958-4879
Phone (727) 617-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9250144FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc. CurrentSince Dec 28, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 28, 2020 Accepting new patients
Joseph J Katta MD PA CurrentSince Aug 17, 2013 Accepting new patients
Physician Surgical Network Inc. CurrentSince Sep 30, 2023 Accepting new patients
Advanced Urology Associates of Florida PL CurrentSince Mar 21, 2016 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Vitality Integrated Medical Network LLC Adult Health PastSince Dec 24, 2023 Accepting new patients
Pramod Joseph Hospital Practice LLC Past Accepting new patients
Sebastian Hma Physician Management LLC Past Accepting new patients

Locations

1900 Nebraska Ave
Ste 5
Fort Pierce, FL 34950
Phone (772) 466-7200

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

240 N Wickham Rd
Ste 309
Melbourne, FL 32935
Phone (321) 308-5057

13840 US Highway 1
Sebastian, FL 32958
Phone (772) 581-0334

13845 US Highway 1
Sebastian, FL 32958
Phone (772) 589-9071

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

1986 35th Ave
Vero Beach, FL 32960
Phone (772) 562-7220

275 18th St
Ste 102
Vero Beach, FL 32960
Phone (772) 559-9998

275 18th St
Ste 103
Vero Beach, FL 32960
Phone (772) 567-6181

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEFCA
  • Direct secure messaging: kim.cantello-baker.1@8042.direct.athenahealth.com

Organizations & group practices 10

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 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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1407296734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 309",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358661",
            "telephone_number": "321-752-1630",
            "fax_number": "321-690-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 309",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358661",
            "telephone_number": "321-752-1630",
            "fax_number": "321-690-6578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 18th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329600824",
            "country_code": "US",
            "telephone_number": "772-562-6818",
            "fax_number": "772-299-3653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13845 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583232",
            "country_code": "US",
            "telephone_number": "772-589-9071",
            "fax_number": "772-299-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTELLO-BAKER",
        "first_name": "KIM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9250144",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9250144",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9250144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.