Active NPI
Melissa Ann Gonzalez, DNP, APRN, FNP-BC
- Nurse Practitioner
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9325897
- Practice address
- 2402 Frist Blvd Ste 201
Fort Pierce, FL 34950-4838 - Phone
- (772) 460-8838
- NPI assigned
- Oct 9, 2015
- Last updated
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9325897 | FL | Primary |
Addresses
Primary practice location
2402 Frist Blvd Ste 201
Fort Pierce, FL 34950-4838
Mailing address
501 SW Bradshaw Cir
Port Saint Lucie, FL 34953-5535
Phone (772) 607-3531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN9325897 | Other | FL | STATE LICENSE |
Other names 1
- Melissa Eha
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2402 Frist Blvd
Suite 201
Fort Pierce, FL 34950-4838
Phone (772) 252-6620
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9325897 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broward Neurosurgeons LLC | Current | Accepting new patients | |
| Infinite Medical PC | Nurse Practitioner | Past | Accepting new patients |
| Palm Beach Atlantic University | Past | Accepting new patients |
Locations
2402 Frist Blvd
Ste 201
Fort Pierce, FL 34950
Phone (772) 252-6620
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- melissa.gonzalez@hca4.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Plantation, FL
- NPI 1366499618
-
- Emergency Care Clinic/Center
- West Palm Beach, FL
- NPI 1205180973
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cleveland Clinic Indian River Hospital
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
dba HCA Florida Raulerson Hospital
- General Acute Care Hospital
- Okeechobee, FL
- NPI 1215974134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1619348125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SW BRADSHAW CIR",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349535535",
"telephone_number": "772-607-3531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 FRIST BLVD STE 201",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504838",
"telephone_number": "772-460-8838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "DNP, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-09",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9325897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "APRN9325897",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "EHA",
"credential": "DNP, APRN, FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.