Individual provider Active NPI

Angela Rose Whittamore, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Palm Bay, FL
National Provider Identifier
1841089695
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11039263 Issued in FL
Practice address
491 Fellenz St SW
Palm Bay, FL 32908-4785
Phone
(321) 747-4331
Fax
(321) 301-4734
NPI assigned
May 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11039263 FL Primary

Addresses

Primary practice location

491 Fellenz St SW
Palm Bay, FL 32908-4785

Mailing address

491 Fellenz St SW
Palm Bay, FL 32908-4785
Phone (321) 747-4331

Other practice location 1

1007 Pathfinder Way Ste 120
Rockledge, FL 32955-3243
Phone (321) 507-4033

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
I20250919003371 FL Practitioner - Nurse Practitioner 7416451539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clear As a Bell Psychiatric Providers, IncGroup PAC ID 8729436464, 4 clinicians

Practice addresses (Care Compare)

1007 Pathfinder Way
Suite 120
Rockledge, FL 32955-3243
Phone (321) 507-4033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11039263FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meraki Home Health Solutions LLC Current Accepting new patients
Iaso Mind & Wellness LLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Elysian Care Homes LLC CurrentSince Oct 12, 2025 Accepting new patients
Clear As a Bell Psychiatric Providers, Inc CurrentSince Aug 4, 2025 Accepting new patients

Locations

1007 Pathfinder Way
Ste 120
Rockledge, FL 32955
Phone (321) 507-4033

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1841089695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 FELLENZ ST SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329084785",
            "telephone_number": "321-747-4331",
            "fax_number": "321-301-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 FELLENZ ST SW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329084785",
            "telephone_number": "321-747-4331",
            "fax_number": "321-301-4734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Pathfinder Way Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553243",
            "country_code": "US",
            "telephone_number": "321-507-4033",
            "fax_number": "321-301-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTAMORE",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11039263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.