Individual provider Active NPI

Matthew L Marold, APRN

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1467434076
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN2941622 Issued in FL
Practice address
240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663
Phone
(407) 643-1234
Fax
(321) 541-1787
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 APRN2941622 FL
Adult Health Nurse Practitioner 363LA2200X APRN2941622 FL Primary

Addresses

Primary practice location

240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663

Mailing address

240 N Wickham Rd Ste 102
Melbourne, FL 32935-8663
Phone (407) 643-1234

Other practice location 1

1350 Hickory St Ste 101
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other identifiers 3

IdentifierTypeStateIssuer
Y050JUOtherFLHFPSI MEDICARE
Y050JTOtherFLFL MEDICARE
269581201MedicaidFL

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
I20040710000387 FL Practitioner - Nurse Practitioner 7911985460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Health First Physician Specialties IncGroup PAC ID 9537229646, 58 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Viera Hospital Hospital, Melbourne, FL, CCN 100315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2941622FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Mar 31, 2014 Accepting new patients
Health First Physician Specialties Inc CurrentSince Mar 1, 2012 Accepting new patients
Health First Medical Group, LLC CurrentSince Mar 31, 2014 Accepting new patients
Vero Orthopaedics II PA PastSince Jul 1, 1997 Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Osler Medical Inc Past Accepting new patients

Locations

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

699 W Cocoa Beach Cswy
Ste 404
Cocoa Beach, FL 32931
Phone (321) 868-2778

1350 Hickory St
Ste Pso
Melbourne, FL 32901
Phone (321) 434-1401

2222 S Harbor City Blvd
Ste 610
Melbourne, FL 32901
Phone (321) 541-1537

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

930 S Harbor City Blvd
Melbourne, FL 32901
Phone 3217255050614

1350 Hickory St
Ste 101
Melbourne, FL 32901
Phone (321) 434-1401

650 S Courtenay Pkwy
Ste 200
Merritt Island, FL 32952
Phone (321) 394-2600

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mmarold26524@epicdirect.hf.org

Organizations & group practices 7

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1467434076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358663",
            "telephone_number": "407-643-1234",
            "fax_number": "321-541-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N WICKHAM RD STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358663",
            "telephone_number": "407-643-1234",
            "fax_number": "321-541-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "fax_number": "321-434-1667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "fax_number": "321-434-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROLD",
        "first_name": "MATTHEW",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2941622",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN2941622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFPSI MEDICARE",
            "identifier": "Y050JU",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "Y050JT",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269581201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.