Individual provider Active NPI

Lisa Linder, NURSE PRACTITIONER

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1902258775
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9184208 Issued in FL
Practice address
1314 Oak St
Melbourne, FL 32901-3111
Phone
(321) 727-7992
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9184208 FL
Hospitalist Physician 208M00000X APRN9184208 FL
Nurse Practitioner 363L00000X APRN9184208 FL Primary

Addresses

Primary practice location

1314 Oak St
Melbourne, FL 32901-3111

Mailing address

1314 Oak St
Melbourne, FL 32901-3111
Phone (321) 727-7992

Other practice location 1

1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121

Other identifiers 2

IdentifierTypeStateIssuer
020099200MedicaidFL
KL927OtherFLMEDICARE

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
I20170206001401 FL Practitioner - Nurse Practitioner 8426331034 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Lung Associates, PAGroup PAC ID 4789665738, 18 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1314 Oak St
Melbourne, FL 32901-3111
Phone 3217277992114

1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177
  • Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316

Merit-based Incentive Payment System (MIPS)

Final score
93.35 of 100Reported as group
Quality
87.13
Promoting interoperability
100
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9184208FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Oct 20, 2018 Accepting new patients
Independent Lung Associates, PA CurrentSince Jul 2, 2018 Accepting new patients
Brevard Physician Associates, PLLC Nurse Practitioner CurrentSince Jan 1, 2017 Accepting new patients
Health First Medical Group, LLC CurrentSince Oct 20, 2018 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1314 Oak St
Melbourne, FL 32901
Phone (321) 610-3907

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

1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000

Interoperability endpoints

  • Direct secure messaging: llinder71372@epicdirect.hf.org

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.

Hospital & facility affiliations 4

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1902258775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013111",
            "telephone_number": "321-727-7992",
            "fax_number": "321-727-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013111",
            "telephone_number": "321-727-7992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Malabar Rd NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329072506",
            "country_code": "US",
            "telephone_number": "321-434-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDER",
        "first_name": "LISA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9184208",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "APRN9184208",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9184208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020099200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KL927",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.