Active NPI
Sherise Melanie Stark, APRN
- Family Nurse Practitioner
- Sebastian, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11004086
- Practice address
- 13505 US Highway 1
Sebastian, FL 32958-3759 - Phone
- (772) 257-8224
- Fax
- (772) 213-3157
- NPI assigned
- Sep 12, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11004086 | FL | Primary |
Addresses
Primary practice location
13505 US Highway 1
Sebastian, FL 32958-3759
Mailing address
1555 Indian River Blvd Ste B210
Vero Beach, FL 32960-7113
Phone (772) 257-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN11004086 | Other | FL | STATE LICENSE |
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12196 County Rd
Suite 512
Fellsmere, FL 32948-5463
Phone (772) 257-8224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11004086 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Treasure Coast Community Health Inc | Current | Accepting new patients | |
| MD Primary Care Inc | Current | Accepting new patients | |
| Treasure Coast Community Health Inc | Current | Accepting new patients |
Locations
12196 County Road 512
Fellsmere, FL 32948
Phone (561) 571-8828
2215 Nebraska Ave
Ste 2-B
Fort Pierce, FL 34950
Phone (772) 302-3767
13505 US Highway 1
Sebastian, FL 32958
Phone 7722578224 ext. 339
1400 27th St
Vero Beach, FL 32960
1545 9th St SW
Vero Beach, FL 32962
Phone 77225782241908
1553 US Highway 1
Vero Beach, FL 32960
Phone (772) 562-3234
1555 Indian River Blvd
Ste B210
Vero Beach, FL 32960
4675 28th Ct
Vero Beach, FL 32967
Phone (772) 770-5151
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDGDCD
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.
-
- Federally Qualified Health Center (FQHC)
- Fellsmere, FL
- NPI 1891740916
-
- Family Medicine Physician
- Fort Pierce, FL
- NPI 1033766027
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1609686542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1669022505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 INDIAN RIVER BLVD STE B210",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607113",
"telephone_number": "772-257-8224",
"fax_number": "772-252-3245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13505 US HIGHWAY 1",
"city": "SEBASTIAN",
"state": "FL",
"postal_code": "329583759",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "SHERISE",
"middle_name": "MELANIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-12",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11004086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "APRN11004086",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebastian, FL
- South Florida Community Health Aliance, Inc
- Space Coast Pathologists PA
- Ronald Spatafore, CRNA
- Speech and Occupational Specialists, LLC
- St. Philopateer Pharmacy , LLC (CarePlus Pharmacy)
- Starleen C Schaffer MD PA
- Starleen Schaffer Mdpa
- Brett E Steinwand, M.D.
- Jeffrey S Stepanek, DC
- Ronald J. Stern, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.