Individual provider Active NPI

Nola Trossman, ARNP

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1447720362
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9198165 Issued in FL
Practice address
1335 Valentine St
Melbourne, FL 32901-3127
Phone
(321) 586-5444
Fax
(321) 319-9712
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9198165 FL Primary

Addresses

Primary practice location

1335 Valentine St
Melbourne, FL 32901-3127

Mailing address

5155 Wilden Rd
Micco, FL 32976-2728
Phone (321) 298-6549

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9198165MedicaidFL

Other names 1

  • Nola Coughlan Former name

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
I20191022002941 FL Practitioner - Nurse Practitioner 6406188507 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

Practice addresses (Care Compare)

1627 US Hwy 1
Suite 205
Sebastian, FL 32958-3464
Phone (772) 588-4818

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9198165FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baytree Behavioral Health PA CurrentSince Oct 3, 2022 Accepting new patients
Mental Health Association in Indian River County Inc Current Accepting new patients
Nola Trossman, Advanced Registered Nurse Practioner, LLC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients

Locations

1370 Bedford Dr
Ste 106
Melbourne, FL 32940
Phone (321) 253-8887

1627 US Highway 1
Ste 205
Sebastian, FL 32958
Phone (321) 298-6549

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1447720362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 WILDEN RD",
            "city": "MICCO",
            "state": "FL",
            "postal_code": "329762728",
            "telephone_number": "321-298-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013127",
            "telephone_number": "321-586-5444",
            "fax_number": "321-319-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROSSMAN",
        "first_name": "NOLA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9198165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ARNP9198165",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOLA",
            "last_name": "COUGHLAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.