Individual provider Active NPI

Miltiyia Blain, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1801625348
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11034913 Issued in FL
Practice address
6100 Minton Rd NW Ste 102
Melbourne, FL 32907-1900
Phone
(321) 724-1171
Fax
(321) 724-9024
NPI assigned
Aug 1, 2024
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 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 APRN11034913 FL Primary

Addresses

Primary practice location

6100 Minton Rd NW Ste 102
Melbourne, FL 32907-1900

Mailing address

1024 Reverend Nathaniel L Harris St
Melbourne, FL 32901-7226
Phone (321) 290-0365

Other practice location 1

1024 Reverend Nathaniel L Harris St
Melbourne, FL 32901-7226
Phone (321) 290-0365

Other practice location 2

7925 N Wickham Rd
Melbourne, FL 32940-8356
Phone (321) 751-7222

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
I20240905001320 FL Practitioner - Nurse Practitioner 4981144904 Reassigns benefits to 2 organizations

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
Omni Healthcare, IncGroup PAC ID 5496652380, 42 clinicians

Practice addresses (Care Compare)

6100 Minton Rd NW
Suite 102
Palm Bay, FL 32907-1900
Phone (321) 724-1171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11034913FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Healthcare, Inc Current Accepting new patients
Omni Healthcare, Inc. CurrentSince Apr 7, 2025 Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Aug 21, 2024 Accepting new patients
Medfast Urgent Care Centers LLC Current Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Aug 21, 2024 Accepting new patients
Omnihealthcare Inc PastSince Apr 7, 2025 Accepting new patients

Locations

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

6300 N Wickham Rd
Ste 132A
Melbourne, FL 32940
Phone (321) 253-4032

7925 N Wickham Rd
Melbourne, FL 32940
Phone 32126861118561

6100 Minton Rd NW
Ste 102
Palm Bay, FL 32907
Phone (321) 724-1171

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: miltiyiablain@ohi.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1801625348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 REVEREND NATHANIEL L HARRIS ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017226",
            "telephone_number": "321-290-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MINTON RD NW STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329071900",
            "telephone_number": "321-724-1171",
            "fax_number": "321-724-9024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1024 Reverend Nathaniel L Harris St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329017226",
            "country_code": "US",
            "telephone_number": "321-290-0365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7925 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408356",
            "country_code": "US",
            "telephone_number": "321-751-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIN",
        "first_name": "MILTIYIA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.