Individual provider Active NPI

David E Martin

  • Family Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1861043648
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004207 Issued in FL
Practice address
650 S Courtenay Pkwy Ste 100
Merritt Island, FL 32952-4977
Phone
(321) 420-1555
Fax
(321) 208-8782
NPI assigned
Sep 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11004207 FL Primary

Addresses

Primary practice location

650 S Courtenay Pkwy Ste 100
Merritt Island, FL 32952-4977

Mailing address

650 S Courtenay Pkwy Ste 100
Merritt Island, FL 32952-4977
Phone (321) 420-1555

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
I20200409003505 FL Practitioner - Nurse Practitioner 4183053283 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Solutions LLCGroup PAC ID 3870037765, 6 clinicians
Anchor Internal Medicine LLCGroup PAC ID 1658855010, 2 clinicians

Practice addresses (Care Compare)

284 S Brevard Ave
Cocoa Beach, FL 32931-2797
Phone (321) 260-2101

650 S Courtenay Pkwy
Suite 100
Merritt Island, FL 32952-4977
Phone (321) 420-1555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004207FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Solutions LLC CurrentSince Oct 6, 2025 Accepting new patients
Anchor Internal Medicine LLC Current Accepting new patients
Randall B Rigdon LLC CurrentSince Mar 19, 2020 Accepting new patients

Locations

8400 Astronaut Blvd
Cape Canaveral, FL 32920
Phone (321) 783-7883

650 S Courtenay Pkwy
Ste 100
Merritt Island, FL 32952
Phone (321) 260-2101

270 N Sykes Creek Pkwy
Ste 202
Merritt Island, FL 32953
Phone (321) 454-2468

125 E Merritt Island Cswy
Ste 107
Merritt Island, FL 32952

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 1

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1861043648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524977",
            "telephone_number": "321-420-1555",
            "fax_number": "321-208-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524977",
            "telephone_number": "321-420-1555",
            "fax_number": "321-208-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAVID",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.