Individual provider Active NPI

Veronica Poulin, APRN

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1801643283
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11032485 Issued in FL
Practice address
1223 Gateway Dr Ste 1E
Melbourne, FL 32901-2607
Phone
(321) 608-4814
NPI assigned
May 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 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 APRN11032485 FL Primary

Addresses

Primary practice location

1223 Gateway Dr Ste 1E
Melbourne, FL 32901-2607

Mailing address

1223 Gateway Dr Ste 1E
Melbourne, FL 32901-2607

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
I20240525000036 FL Practitioner - Nurse Practitioner 6103268859 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
Urgent Care Centers of Brevard County LLCGroup PAC ID 6002238714, 25 clinicians

Practice addresses (Care Compare)

105 S Banana River Blvd
Cocoa Beach, FL 32931-5041
Phone (407) 200-2300

1223 Gateway Dr
Suite 1E
Melbourne, FL 32901-2607
Phone (407) 200-2300

2335 S Washington Ave
Titusville, FL 32780-4737
Phone (407) 200-2300

730 Malabar Rd
Suite B
Malabar, FL 32950-3140
Phone (407) 200-2300

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11032485FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Brevard County LLC Family Current Accepting new patients
Bethesda Health Physician Group, Inc. CurrentSince May 27, 2024 Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Sep 4, 2025 Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Sep 4, 2025 Accepting new patients

Locations

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

1223 Gateway Dr
Ste 1E
Melbourne, FL 32901
Phone (321) 725-4505

11327 Okeechobee Blvd
Ste 23
Royal Palm Beach, FL 33411
Phone (561) 340-1615

Interoperability endpoints

  • Direct secure messaging: vpoulin5515817@adventhealth.direct-ci.com

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": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1801643283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR STE 1E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR STE 1E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-608-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.