Active NPI
Jessica Nicole Bartlett, APRN
- Family Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11001098
- Practice address
- 3972 W Eau Gallie Blvd Ste 103
Melbourne, FL 32934-7006 - Phone
- (407) 299-7333
- NPI assigned
- May 13, 2019
- Last updated
- Sep 2, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000025527 | TN | |
| Nurse Practitioner | 363L00000X | APRN11001098 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11001098 | FL | Primary |
Addresses
Primary practice location
3972 W Eau Gallie Blvd Ste 103
Melbourne, FL 32934-7006
Mailing address
3021 W Eau Gallie Blvd Ste 102
Melbourne, FL 32934-7005
Phone (407) 299-7333
Other practice location 1
713 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603
Phone (407) 299-7333
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7652 Ashley Park CT
Suite 301
Orlando, FL 32835-6199
Phone (407) 299-7333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000025527 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Florida Dermatology Associates P.a. | Current | Accepting new patients |
Locations
713 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 253-9007
3021 W Eau Gallie Blvd
Ste 102
Melbourne, FL 32934
Phone (321) 254-4626
3972 W Eau Gallie Blvd
Ste 103
Melbourne, FL 32934
100 W Gore St
Ste 602
Orlando, FL 32806
Phone (407) 839-3999
7652 Ashley Park Ct
Ste 301
Orlando, FL 32835
7652 Ashley Park Ct
Ste 305
Orlando, FL 32835
Phone (407) 839-0127
Organizations & group practices 1
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.
-
dba NOLA Dermatology
- Dermatology Physician
- Orlando, FL
- NPI 1619018561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1619533940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 W EAU GALLIE BLVD STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347005",
"telephone_number": "407-299-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3972 W EAU GALLIE BLVD STE 103",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347006",
"telephone_number": "407-299-7333"
}
],
"practiceLocations": [
{
"address_1": "713 N Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321141603",
"country_code": "US",
"telephone_number": "407-299-7333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTLETT",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2025-09-02",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000025527",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11001098",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11001098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.