Individual provider Active NPI

Natsuko Okamura, MSN, ARNP, FNP-C

  • Family Nurse Practitioner
  • West Melbourne, FL
National Provider Identifier
1588933782
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9250858 Issued in FL
Practice address
948 S Wickham Rd Ste 101
West Melbourne, FL 32904-1647
Phone
(321) 608-4946
Fax
(321) 327-5746
NPI assigned
Dec 19, 2011
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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 ARNP9250858 FL Primary

Addresses

Primary practice location

948 S Wickham Rd Ste 101
West Melbourne, FL 32904-1647

Mailing address

948 S Wickham Rd Ste 101
West Melbourne, FL 32904-1647

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
I20120308000599 FL Practitioner - Nurse Practitioner 2466611546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baba Healthcare, Inc.Group PAC ID 4183519069, 3 clinicians

Practice addresses (Care Compare)

948 S Wickham Rd
Suite 103
W Melbourne, FL 32904-1647
Phone (321) 956-7370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
ARNP9250858FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baba Healthcare, Inc. CurrentSince Apr 1, 2017 Accepting new patients
Baba Healthcare PastSince Apr 1, 2017 Accepting new patients

Locations

948 S Wickham Rd
Ste 101
West Melbourne, FL 32904
Phone (321) 236-8688

948 S Wickham Rd
Ste 103
West Melbourne, FL 32904
Phone (321) 956-7370

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDFEBD/Endpoint/FDFEBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1588933782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 S WICKHAM RD STE 101",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041647",
            "fax_number": "321-327-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 S WICKHAM RD STE 101",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041647",
            "telephone_number": "321-608-4946",
            "fax_number": "321-327-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAMURA",
        "first_name": "NATSUKO",
        "credential": "MSN, ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9250858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Melbourne, FL

Sources for this page

Verify at the official NPI Registry.