Individual provider Active NPI

Ashley Mae Fleck, FNP-BC, PMHNP- BC

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1639770340
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11007648 Issued in FL
Practice address
3040 N Wickham Rd Ste 3
Melbourne, FL 32935-2369
Phone
(321) 425-2424
Fax
(321) 256-5000
NPI assigned
Nov 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11007648 FL
Nurse Practitioner 363L00000X 11007648 FL Primary
Family Nurse Practitioner 363LF0000X 11007648 FL

Addresses

Primary practice location

3040 N Wickham Rd Ste 3
Melbourne, FL 32935-2369

Mailing address

PO Box 120161
Melbourne, FL 32912-0161
Phone (321) 425-2424

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
I20240620001127 FL Practitioner - Nurse Practitioner 7719420611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11007648FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 25, 2025 Accepting new patients
Brevard Geriatrics, LLC CurrentSince Jun 3, 2024 Accepting new patients
Space Coast Health and Wellness LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

3040 N Wickham Rd
Ste 3
Melbourne, FL 32935
Phone (321) 254-3042

720 E New Haven Ave
Ste 11
Melbourne, FL 32901
Phone (254) 236-5079

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1515 Port Malabar Blvd NE
Ste 11
Palm Bay, FL 32905
Phone (321) 723-1255

8050 Spyglass Rd
Viera, FL 32940
Phone (321) 752-1000

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": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1639770340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120161",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329120161",
            "telephone_number": "321-425-2424",
            "fax_number": "321-256-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 N WICKHAM RD STE 3",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352369",
            "telephone_number": "321-425-2424",
            "fax_number": "321-256-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "ASHLEY",
        "middle_name": "MAE",
        "credential": "FNP-BC, PMHNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11007648",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11007648",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.