Individual provider Active NPI

Melissa A. Studebaker, ARNP-C

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1821230855
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2513912 Issued in FL
Practice address
2290 W Eau Gallie Blvd
Suite 202
Melbourne, FL 32935-3133
Phone
(321) 254-4776
Fax
(321) 254-4840
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2513912 FL Primary

Addresses

Primary practice location

2290 W Eau Gallie Blvd
Suite 202
Melbourne, FL 32935-3133

Mailing address

2290 W Eau Gallie Blvd
Suite 202
Melbourne, FL 32935-3133
Phone (321) 254-4776

Other names 1

  • Melissa A. Fiedor-Maiden Other name

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
I20110127000949 FL Practitioner - Nurse Practitioner 8921287574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13050 US Hwy 1
Sebastian, FL 32958-3733
Phone (772) 589-1995

215 Cone Rd
Merritt Island, FL 32952-3114
Phone (561) 589-1995

2290 W Eau Gallie Blvd
Suite 202
Melbourne, FL 32935-3145
Phone (321) 254-4776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2513912FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Centers of Brevard Inc CurrentSince Sep 1, 2017 Accepting new patients
Cancer Care Centers of Brevard Inc CurrentSince Sep 1, 2017 Accepting new patients
Memorial Hospital Flagler Inc. Past Accepting new patients
Memorial Hospital Flagler Inc Past Accepting new patients

Locations

1430 Pine St
Melbourne, FL 32901
Phone (321) 952-0898

2290 W Eau Gallie Blvd
Ste 202
Melbourne, FL 32935
Phone (321) 254-4776

215 Cone Rd
Merritt Island, FL 32952
Phone (561) 589-1995

10 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 752-4811

20 San Filippo Dr SE
Palm Bay, FL 32909
Phone (321) 725-8300

1048 Harvin Way
Rockledge, FL 32955
Phone (321) 636-2111

1038 Harvin Way
Ste 120
Rockledge, FL 32955
Phone (321) 636-2111

13050 US Highway 1
Sebastian, FL 32958
Phone (561) 589-1995

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: melissa.studebaker@cccb.ikm.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1821230855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 W EAU GALLIE BLVD",
            "address_2": "SUITE 202",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353133",
            "telephone_number": "321-254-4776",
            "fax_number": "321-254-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 W EAU GALLIE BLVD",
            "address_2": "SUITE 202",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353133",
            "telephone_number": "321-254-4776",
            "fax_number": "321-254-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDEBAKER",
        "first_name": "MELISSA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2513912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FIEDOR-MAIDEN",
            "middle_name": "A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.