Individual provider Active NPI

Melissa Susan Nicoletti, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Orlando, FL
National Provider Identifier
1821483942
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME146004 Issued in FL
Practice address
1222 S Orange Ave FL 5
Orlando, FL 32806-1215
Phone
(321) 841-3040
Fax
(321) 841-3049
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME146004 FL
Sports Medicine (Family Medicine) Physician 207QS0010X ME146004 FL Primary
Family Medicine Physician 207Q00000X MD-19703 HI

Addresses

Primary practice location

1222 S Orange Ave FL 5
Orlando, FL 32806-1215

Mailing address

1222 S Orange Ave FL 5
Orlando, FL 32806-1215
Phone (321) 841-3040

Other practice location 1

1325 S Kihei Rd Ste 103
Kihei, HI 96753
Phone (808) 664-1454

Other practice location 2

1150 Campo Sano Ave
Coral Gables, FL 33146-1174
Phone (786) 268-6200

Other identifiers 1

IdentifierTypeStateIssuer
111307700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180804000203 HI Practitioner - Family Practice 8628326840 Reassigns benefits to 1 organization
I20210812002740 FL Practitioner - Sports MedicinePractitioner - Family Practice 8628326840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1150 Campo Sano Ave
Coral Gables, FL 33146-1174

1335 Sligh Blvd
MP38
Orlando, FL 32806-3901

5335 Cypress Gardens Blvd
Suite 270
Winter Haven, FL 33884-2241

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME146004FLMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
RP Medical LLC CurrentSince Aug 25, 2018 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

392 Rinehart Rd
Ste 3090
Lake Mary, FL 32746
Phone (321) 841-2243

1222 S Orange Ave
Fl 5
Orlando, FL 32806
Phone (321) 841-1745

1222 S Orange Ave
Fl 2
Orlando, FL 32806
Phone (321) 843-3220

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

270 Dairy Rd
Ste 239
Kahului, HI 96732

1325 S Kihei Rd
Ste 103
Kihei, HI 96753
Phone (808) 879-7781

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mnicoletti73752@adventhealth.direct-ci.com

Organizations & group practices 3

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1821483942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE FL 5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "321-841-3040",
            "fax_number": "321-841-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S ORANGE AVE FL 5",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061215",
            "telephone_number": "321-841-3040",
            "fax_number": "321-841-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 S Kihei Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Kihei",
            "state": "HI",
            "postal_code": "96753",
            "country_code": "US",
            "telephone_number": "808-664-1454",
            "fax_number": "312-277-3314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Campo Sano Ave",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331461174",
            "country_code": "US",
            "telephone_number": "786-268-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLETTI",
        "first_name": "MELISSA",
        "middle_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME146004",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME146004",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-19703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111307700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.