Active NPI
Kaitlin Messick, FNP-C
- Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11011366
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011366 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medfast Urgent Care Centers, LLC | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Urgent Care Centers of Brevard County LLC | Current | Accepting new patients | |
| Medfast Urgent Care Centers LLC | Current | Accepting new patients | |
| Restore Health Management LLC | Current | Accepting new patients | |
| Urgent Care Centers of Brevard County LLC | Current | 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
- 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.
-
dba Health First AdventHealth Centra Care
- Urgent Care Clinic/Center
- Maitland, FL
- NPI 1295367290
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1285735605
-
- Urgent Care Clinic/Center
- Palm Bay, FL
- NPI 1609240779
-
- Urgent Care Clinic/Center
- Sebastian, FL
- NPI 1376421479
-
dba Health First AdventHealth Centra Care Melbourne
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1801594858
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.