Individual provider Active NPI

Ira M Walter, MSN-ED, APRN, FNP

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1427232107
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013625 Issued in FL
Practice address
4652 Crew Cir Apt 5
Melbourne, FL 32904-8440
Phone
(321) 462-9522
NPI assigned
Dec 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 602855 NY
Medical-Surgical Registered Nurse 163WM0705X RN9290651 FL
Primary Care Nurse Practitioner 363LP2300X 11013625 FL
Family Nurse Practitioner 363LF0000X 11013625 FL Primary

Addresses

Primary practice location

4652 Crew Cir Apt 5
Melbourne, FL 32904-8440

Mailing address

4652 Crew Cir Apt 5
Melbourne, FL 32904-8440
Phone (321) 462-9522

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
I20220317001763 FL Practitioner - Nurse Practitioner 3072908672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Rehab Specialists, PLLCGroup PAC ID 5890155279, 82 clinicians

Practice addresses (Care Compare)

817 NW 56TH Ter
Suite B
Gainesville, FL 32605-6401
Phone (352) 234-3050

Hospital & facility affiliations

  • Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
602855NYMDRegistered Nurse
RN9290651FLMDMedical-Surgical Registered Nurse
11013625FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Rehab Specialists, PLLC CurrentSince Jan 24, 2026 Accepting new patients
Brevard Geriatrics, LLC CurrentSince Feb 26, 2024 Accepting new patients

Locations

817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771

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

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1427232107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4652 CREW CIR APT 5",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048440",
            "telephone_number": "321-462-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4652 CREW CIR APT 5",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048440",
            "telephone_number": "321-462-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "IRA",
        "middle_name": "M",
        "credential": "MSN-ED, APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-18",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "602855",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "FL",
            "license": "RN9290651",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11013625",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.