Individual provider Active NPI

Elizabeth Anne Vanhemel, PA-C

  • Medical Physician Assistant
  • Melbourne, FL
National Provider Identifier
1477593184
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 3575 Issued in FL
Practice address
1350 S Hickory St
Melbourne, FL 32901-3224
Phone
(321) 434-7298
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 3575 FL Primary

Addresses

Primary practice location

1350 S Hickory St
Melbourne, FL 32901-3224

Mailing address

PO Box 361907
Melbourne, FL 32936-1907
Phone (321) 258-2831

Other identifiers 1

IdentifierTypeStateIssuer
290868900MedicaidFL

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
I20051129000525 FL Practitioner - Physician Assistant 5799705265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JM Holdings of Brevard IncGroup PAC ID 1254637978, 8 clinicians
Community Health of Tallahassee LLCGroup PAC ID 1658539333, 9 clinicians

Practice addresses (Care Compare)

1698 W Hibiscus Blvd
Suite B
Melbourne, FL 32901-2639
Phone (321) 676-3200

325 5TH Ave
Suite 204
Indialantic, FL 32903-4270
Phone (321) 821-4889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 3575FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Acute Medical Care, LLC CurrentSince Jan 7, 2024 Accepting new patients
Physician Assistant Services of Florida LLC Past Accepting new patients
Brevard Emergency Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: evanhemel71409@epicdirect.hf.org
  • Direct secure messaging: elizabeth.anne.vanhemel.1@32269.direct.athenahealth.com

Organizations & group practices 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1477593184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361907",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329361907",
            "telephone_number": "321-258-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S HICKORY ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013224",
            "telephone_number": "321-434-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHEMEL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 3575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290868900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.