Active NPI
Veronica Poulin, APRN
- Family Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11032485
- 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
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 | 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11032485 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Centers of Brevard County LLC | Family | Current | Accepting new patients |
| Bethesda Health Physician Group, Inc. | Current | Accepting new patients | |
| Urgent Care Centers of Brevard County LLC | Family | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Family | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1295367290
Family
-
- General Practice Physician
- Boynton Beach, FL
- NPI 1699863936
-
- Urgent Care Clinic/Center
- Cocoa Beach, FL
- NPI 1083246334
Family
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1801594858
Family
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.