Individual provider Active NPI

Alison Badders, APRN, FNP-BC

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1447898739
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004557 Issued in FL
Practice address
1715 Berglund LN Ste B
Melbourne, FL 32940-6404
Phone
(321) 219-9998
NPI assigned
Dec 17, 2019
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11004557 FL Primary
Women's Health Nurse Practitioner 363LW0102X 11004557 FL

Addresses

Primary practice location

1715 Berglund LN Ste B
Melbourne, FL 32940-6404

Mailing address

1950 US Highway 1
Rockledge, FL 32955-3763
Phone (321) 636-0005

Other practice location 1

1950 US Highway 1
Rockledge, FL 32955-3763
Phone (321) 636-0005

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
I20200225002985 FL Practitioner - Nurse Practitioner 2668809906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

1715 Berglund LN B
Viera, FL 32940-6230
Phone (321) 610-8955

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11004557FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Family Walk in Clinic LLC CurrentSince Jan 23, 2020 Accepting new patients
Florida Woman Care, LLC CurrentSince Feb 2, 2022 Accepting new patients
Brevard Family Walk in Clinic Rockledge PastSince Apr 1, 2020 Accepting new patients
Womencare PA PastSince Feb 1, 2022 Accepting new patients

Locations

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 487-2167

1950 US Highway 1
Ste 101
Rockledge, FL 32955
Phone (321) 636-0005

1715 Berglund Ln
Unit B
Viera, FL 32940
Phone (321) 610-8955

Interoperability endpoints

  • Direct secure messaging: alison.badders.1@2183.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1447898739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 US HIGHWAY 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553763",
            "telephone_number": "321-636-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 BERGLUND LN STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406404",
            "telephone_number": "321-219-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553763",
            "country_code": "US",
            "telephone_number": "321-636-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADDERS",
        "first_name": "ALISON",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004557",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "11004557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.