Individual provider Active NPI

Kaitlin Messick, FNP-C

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1891386314
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11011366 Issued in FL
Practice address
1223 Gateway Dr Ste 1E
Melbourne, FL 32901-2607
Phone
(321) 725-4505
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 APRN11011366 FL Primary

Addresses

Primary practice location

1223 Gateway Dr Ste 1E
Melbourne, FL 32901-2607

Mailing address

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456

Other names 1

  • Kaitlin Nelson Former 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
I20210209000370 FL Practitioner - Nurse Practitioner 6406261221 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2600 Westhall LN Box
300 Health First Adventhealth Centra Care C
Maitland, FL 32751-7102
Phone (407) 200-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11011366FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers, LLC CurrentSince Feb 1, 2021 Accepting new patients
Brevard Physician Associates, PLLC Nurse Practitioner CurrentSince Mar 13, 2023 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Jul 17, 2023 Accepting new patients
Medfast Urgent Care Centers LLC CurrentSince Feb 1, 2021 Accepting new patients
Restore Health Management LLC CurrentSince May 1, 2023 Accepting new patients
Urgent Care Centers of Brevard County LLC CurrentSince Jul 17, 2023 Accepting new patients

Locations

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

7925 N Wickham Rd
Ste A
Melbourne, FL 32940

5500 Stadium Pkwy
Ste 101
Melbourne, FL 32940
Phone (321) 306-5510

1223 Gateway Dr
Ste 1E
Melbourne, FL 32901
Phone (321) 725-4505

390 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 633-3162

1840 Eldron Blvd SE
Ste 1
Palm Bay, FL 32909
Phone (321) 312-4580

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: kmessick1749327@adventhealth.direct-ci.com

Organizations & group practices 6

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 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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1891386314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N COURTENAY PKWY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR STE 1E",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-725-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSICK",
        "first_name": "KAITLIN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11011366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "NELSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.