Individual provider Active NPI

Heather Rebro, APRN

  • Family Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1558061168
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024365 Issued in FL
Practice address
420 S Nova Rd Ste 5
Ormond Beach, FL 32174-0411
Phone
(386) 506-0111
Fax
(844) 899-3686
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11024365 FL Primary

Addresses

Primary practice location

420 S Nova Rd Ste 5
Ormond Beach, FL 32174-0411

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other identifiers 1

IdentifierTypeStateIssuer
R160321697880OtherFLLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.rebro.1@29601.direct.athenahealth.com

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
I20230321002098 FL Practitioner - Nurse Practitioner 7719351451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

420 S Nova Rd
Suite 4And5
Ormond Beach, FL 32174-0410
Phone (386) 615-8122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11024365FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ormond Internal Medicine LLC CurrentSince Jul 25, 2024 Accepting new patients
Kashyap Patel MD PA CurrentSince Mar 2, 2023 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Sep 2, 2025 Accepting new patients
Volusia & Flagler OB-GYN PA Past Accepting new patients
Img Medical Group de PA PastSince Aug 17, 2025 Accepting new patients
Metcare of Florida, Inc Past Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

420 S Nova Rd
Ste 4
Ormond Beach, FL 32174
Phone (386) 506-0111

420 S Nova Rd
Ste 5
Ormond Beach, FL 32174
Phone (386) 506-0111

420 S Nova Rd
Ormond Beach, FL 32174

279 S Yonge St
Ormond Beach, FL 32174
Phone (386) 673-2133

325 Clyde Morris Blvd
Ste 340
Ormond Beach, FL 32174
Phone (386) 212-3273

420 S Nova Rd
Ste 45
Ormond Beach, FL 32174
Phone (386) 281-6633

598 Sterthaus Dr
#C
Ormond Beach, FL 32174
Phone (386) 672-9683

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11843/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: heather.rebro.1@29601.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.

Hospital & facility affiliations 2

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1558061168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S NOVA RD STE 5",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321740411",
            "telephone_number": "386-506-0111",
            "fax_number": "844-899-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBRO",
        "first_name": "HEATHER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "R160321697880",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.rebro.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "420 S Nova Rd Ste 5",
            "city": "Ormond Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321740411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.