Individual provider Active NPI

Scott Stewart, FNP-C

  • Family Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1629880067
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01250701 Issued in FL
Practice address
1400 Rockledge Blvd
Rockledge, FL 32955-2846
Phone
(321) 735-8960
NPI assigned
Jan 23, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 F01250701 FL Primary

Addresses

Primary practice location

1400 Rockledge Blvd
Rockledge, FL 32955-2846

Mailing address

1506 Paisley St NW
Palm Bay, FL 32907-8029
Phone (304) 972-6817

Other practice location 1

1506 Paisley St NW
Palm Bay, FL 32907-8029
Phone (304) 972-6817

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
I20250228002299 FL Practitioner - Nurse Practitioner 6507386992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

1400 Rockledge Blvd
Rockledge, FL 32955-2846
Phone (321) 735-8960

2330 N Wickham Rd
Suite 12
Melbourne, FL 32935-8184
Phone (321) 633-3278

2500 Minton Rd
West Melbourne, FL 32904-6602
Phone (321) 633-3278

490 Ctr Lake Dr NE
Suite 200
Palm Bay, FL 32907-1113
Phone (321) 751-7222

5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222

820 Palm Bay Rd NE
Suite 110
Palm Bay, FL 32905-6351
Phone (321) 633-3278

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01250701FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers, LLC CurrentSince Feb 21, 2025 Accepting new patients
Medfast Urgent Care Centers LLC Current Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Feb 21, 2025 Accepting new patients

Locations

7970 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-7711

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

1400 Rockledge Blvd
Rockledge, FL 32955
Phone (321) 242-7425

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1629880067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 PAISLEY ST NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329078029",
            "telephone_number": "304-972-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROCKLEDGE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552846",
            "telephone_number": "321-735-8960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 Paisley St NW",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329078029",
            "country_code": "US",
            "telephone_number": "304-972-6817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "SCOTT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F01250701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.