Individual provider Active NPI

Amy Megan Wegener, APRN

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1477211639
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11015362 Issued in FL
Practice address
5500 Stadium Pkwy Ste 101
Melbourne, FL 32940-8095
Phone
(321) 306-5510
NPI assigned
Dec 6, 2021
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11015362 FL Primary

Addresses

Primary practice location

5500 Stadium Pkwy Ste 101
Melbourne, FL 32940-8095

Mailing address

5500 Stadium Pkwy Ste 101
Melbourne, FL 32940-8095
Phone (321) 306-5510

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
I20220427000344 FL Practitioner - Nurse Practitioner 9335536077 Reassigns benefits to 2 organizations

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 Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

3221 Tamiami TRL
Port Charlotte, FL 33952-8002
Phone (941) 505-8720

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11015362FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers LLC CurrentSince Jun 1, 2023 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Dec 25, 2021 Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Jun 1, 2023 Accepting new patients
Florida Kidney Physicians, LLC Current Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Dec 25, 2021 Accepting new patients

Locations

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

5500 Stadium Pkwy
Ste 101
Melbourne, FL 32940
Phone (321) 306-5510

7970 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-7711

111 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 725-8919

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

18669 Tamiami Trl
North Port, FL 34287
Phone (941) 423-5035

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

3221 Tamiami Trl
Pt Charlotte, FL 33952

1400 Rockledge Blvd
Rockledge, FL 32955
Phone (321) 242-7425

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1477211639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 STADIUM PKWY STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408095",
            "telephone_number": "321-306-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 STADIUM PKWY STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408095",
            "telephone_number": "321-306-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGENER",
        "first_name": "AMY",
        "middle_name": "MEGAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11015362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.