Individual provider Active NPI

Melissa Gagliardi, ARNP

  • Nurse Practitioner
  • Ponte Vedra Beach, FL
National Provider Identifier
1821531427
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9346980 Issued in FL
Practice address
103 Solana Rd Ste B
Ponte Vedra Beach, FL 32082-2231
Phone
(904) 273-2717
Fax
(904) 273-0410
NPI assigned
Nov 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN9346980 FL Primary

Addresses

Primary practice location

103 Solana Rd Ste B
Ponte Vedra Beach, FL 32082-2231

Mailing address

103 Solana Rd Ste B
Ponte Vedra Beach, FL 32082-2231
Phone (904) 273-2717

Other practice location 1

791 Amelia Island Pkwy
Fernandina Beach, FL 32034-9126
Phone (904) 261-7500

Other practice location 2

614 E Twincourt Trl
Saint Augustine, FL 32095-9090
Phone (904) 808-7107

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
I20170214000842 FL Practitioner - Nurse Practitioner 3173806353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaches Dermatology, P.a.Group PAC ID 9133190549, 15 clinicians

Practice addresses (Care Compare)

103 Solana Rd
Suite B
Ponte Vedra Beach, FL 32082-2231
Phone (904) 273-2717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.79 of 100Reported as group
Quality
84.04
Promoting interoperability
100
Improvement activities
40
Cost
85.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN9346980FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaches Dermatology, P.a. CurrentSince Mar 9, 2020 Accepting new patients

Locations

1545 S 14th St
Fernandina Beach, FL 32034
Phone (904) 202-4243

13111 Atlantic Blvd
Unit 4
Jacksonville, FL 32225
Phone (904) 221-3100

103 Solana Rd
#B
Ponte Vedra Beach, FL 32082
Phone (904) 273-2717

103 Solana Rd
Ponte Vedra Beach, FL 32082
Phone (904) 273-2717

614 E Twincourt Trl
St Augustine, FL 32095
Phone (904) 808-7107

Organizations & group practices 1

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 3

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1821531427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SOLANA RD STE B",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822231",
            "telephone_number": "904-273-2717",
            "fax_number": "904-273-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SOLANA RD STE B",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822231",
            "telephone_number": "904-273-2717",
            "fax_number": "904-273-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "791 Amelia Island Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320349126",
            "country_code": "US",
            "telephone_number": "904-261-7500",
            "fax_number": "904-261-2166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 E Twincourt Trl",
            "address_purpose": "LOCATION",
            "city": "Saint Augustine",
            "state": "FL",
            "postal_code": "320959090",
            "country_code": "US",
            "telephone_number": "904-808-7107",
            "fax_number": "904-287-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGLIARDI",
        "first_name": "MELISSA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9346980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.