Individual provider Active NPI

Hannah Haskins

  • Family Nurse Practitioner
  • Cocoa, FL
National Provider Identifier
1891491577
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026184 Issued in FL
Practice address
5005 Port St John Pkwy Ste 2400
Cocoa, FL 32927-4305
Phone
(321) 877-2700
Fax
(321) 806-3059
NPI assigned
Feb 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 APRN11026184 FL Primary

Addresses

Primary practice location

5005 Port St John Pkwy Ste 2400
Cocoa, FL 32927-4305

Mailing address

3300 Dairy Rd
Titusville, FL 32796-1512
Phone (321) 269-6530

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
I20230911003722 FL Practitioner - Nurse Practitioner 8628430261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3300 Dairy Rd
Titusville, FL 32796-1512

Hospital & facility affiliations

  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028

Merit-based Incentive Payment System (MIPS)

Final score
94.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Medical Office PA CurrentSince Jun 8, 2023 Accepting new patients
Space Coast Health Centers Inc CurrentSince Jun 23, 2025 Accepting new patients
North Brevard Medical Support, Inc CurrentSince Jul 13, 2025 Accepting new patients

Locations

5005 Port St John Pkwy
Ste 2400
Port St John, FL 32927
Phone (321) 268-6834

951 N Washington Ave
Ste 100
Titusville, FL 32796
Phone (321) 268-6836

3300 Dairy Rd
Titusville, FL 32796
Phone (321) 267-6687

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17832/brand/2/csg/41/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BFFICA
  • Direct secure messaging: hannah.haskins.1@17832.direct.athenahealth.com

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": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1891491577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 DAIRY RD",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327961512",
            "telephone_number": "321-269-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY STE 2400",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-877-2700",
            "fax_number": "321-806-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKINS",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.