Melissa Raquel Duque, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11007916 Issued in FL

Practice address

550 Pope Ave NW Ste 200
Winter Haven, FL 33881-4679

Phone

(863) 299-2630

Fax

(863) 904-0398

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Raquel Acosta Former name

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

Specialty

Nurse Practitioner

Education

University of South Florida College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovacare Florida Urgent Care, LLCGroup PAC ID 1557802840, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: melissa.duque.1@27472.direct.athenahealth.com

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.

• Innovacare Florida Urgent Care, LLC

  dba Owl Now Urgent Care

  • Urgent Care Clinic/Center
  • Wellington, FL
  • NPI 1902507080
  Medicare reassignment Care Compare group NPD
• Jeffery a. Prosser, M.D.

  • Family Medicine Physician
  • Tarpon Springs, FL
  • NPI 1366888166
  Medicare reassignment NPD
• Synergic Healthcare Solutions LLC

  dba Fast Track Urgent Care Center

  • Urgent Care Clinic/Center
  • Tampa, FL
  • NPI 1063718013
  Medicare reassignment NPD
• Trinity Medical Physicians, LLC

  • Family Medicine Physician
  • Lakeland, FL
  • NPI 1225652878
  Medicare reassignment NPD
• Synergic Healthcare Solutions LLC

  • Urgent Care Clinic/Center
  • Punta Gorda, FL
  • NPI 1174336119
  NPD
• Synergic Healthcare Solutions LLC

  dba Fast Track Urgent Care Center

  • General Practice Physician
  • Wesley Chapel, FL
  • NPI 1194198382
  NPD

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1558986232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW STE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2630",
            "fax_number": "863-904-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 S Florida Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034574",
            "country_code": "US",
            "telephone_number": "863-644-7337",
            "fax_number": "863-646-5189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "MELISSA",
        "middle_name": "RAQUEL",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "ACOSTA",
            "middle_name": "RAQUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candace Rajonda Ducking Etienne
• Jeffrey Jay Duff, RPH
• Shaunese A Dumas, LMHC
• Megan Taylor Duncan, COTA/L
• Yolanda Dunham
• Dva Healthcare Renal Care Inc (Winter Haven Dialysis)
• Dynamic Dental Health Associates of Florida (Paul A. Palo, DMD)
• Mini Eapen, RPH
• Kristina Easley
• Donald Eason, M.D.

• Family Nurse Practitioner in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.