Individual provider Active NPI

Jessica Nicole Bartlett, APRN

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1619533940
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001098 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731000821 FL Practitioner - Nurse Practitioner 5193051001 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
APN0000025527TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. CurrentSince Jul 1, 2019 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.

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

Verify at the official NPI Registry.