Individual provider Active NPI

Melissa Alexandra Lau, MSN, APRN

  • Nurse Practitioner
  • Saint Johns, FL
National Provider Identifier
1669270625
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11035896 Issued in FL
Practice address
2570 Race Track Rd Ste a
Saint Johns, FL 32259-4589
Phone
(904) 819-1005
Fax
(904) 819-1002
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11035896 FL Primary
Family Nurse Practitioner 363LF0000X 11035896 FL

Addresses

Primary practice location

2570 Race Track Rd Ste a
Saint Johns, FL 32259-4589

Mailing address

PO Box 740861
Atlanta, GA 30374-0861
Phone (904) 819-4539

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
I20250403000125 FL Practitioner - Nurse Practitioner 0446773196 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
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians

Practice addresses (Care Compare)

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

70 Turin Ter
Suite 100
Saint Augustine, FL 32092-0849
Phone (904) 819-1200

Hospital & facility affiliations

  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11035896FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flagler Professional Health Care Services, Inc. Nurse Practitioner CurrentSince Apr 14, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince Apr 14, 2025 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Jul 13, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. Past Accepting new patients

Locations

33 Old Kings Rd N
Ste 3
Palm Coast, FL 32137
Phone (386) 445-1100

120 Palencia Village Dr
Ste 107
Saint Augustine, FL 32095
Phone (904) 819-3200

120 Palencia Village Dr
Saint Augustine, FL 32095
Phone (904) 819-3200

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

70 Turin Ter
Ste 100
St Augustine, FL 32092
Phone (904) 819-1101

304 Ashourian Ave
Ste 105
St Augustine, FL 32092
Phone (904) 819-1006

2570 Race Track Rd
Ste A
St Johns, FL 32259
Phone (904) 819-1005

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

Interoperability endpoints

  • Direct secure messaging: mlau774339@direct.shands.ufl.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1669270625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740861",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740861",
            "telephone_number": "904-819-4539",
            "fax_number": "904-819-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 RACE TRACK RD STE A",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594589",
            "telephone_number": "904-819-1005",
            "fax_number": "904-819-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "MELISSA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11035896",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.