Individual provider Active NPI

Melinda Kae Wilmot, APRN

  • Family Nurse Practitioner
  • Lady Lake, FL
National Provider Identifier
1629783519
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023779 Issued in FL
Practice address
801 Highway 466 Ste B101
Lady Lake, FL 32159-3925
Phone
(352) 633-7649
Fax
(352) 633-7649
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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 APRN11023779 FL Primary

Addresses

Primary practice location

801 Highway 466 Ste B101
Lady Lake, FL 32159-3925

Mailing address

PO Box 658
Fruitland Park, FL 34731-0658
Phone (352) 633-7649

Other names 1

  • Melinda Kae Bellamy Former name

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
I20230203001711 FL Practitioner - Nurse Practitioner 1951773761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norman S Novis MD PAGroup PAC ID 6204080146, 4 clinicians

Practice addresses (Care Compare)

801 Hwy 466
Suite B101
Lady Lake, FL 32159-3925
Phone (352) 633-7649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11023779FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norman S Novis MD PA CurrentSince Jan 23, 2023 Accepting new patients

Locations

801 Highway 466
Ste B101
Lady Lake, FL 32159
Phone (352) 459-8121

5470 Spencer Ct
Wildwood, FL 34785
Phone (352) 633-7649

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1629783519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "FRUITLAND PARK",
            "state": "FL",
            "postal_code": "347310658",
            "telephone_number": "352-633-7649",
            "fax_number": "352-633-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HIGHWAY 466 STE B101",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321593925",
            "telephone_number": "352-633-7649",
            "fax_number": "352-633-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "MELINDA",
        "middle_name": "KAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "BELLAMY",
            "middle_name": "KAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.