Individual provider Active NPI

Heather Marie Korkowski, APRN

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1922626647
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008005 Issued in FL
Practice address
205 E Nasa Blvd FL 2
Melbourne, FL 32901-1950
Phone
(321) 361-5619
NPI assigned
Jul 9, 2020
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11008005 FL
Family Nurse Practitioner 363LF0000X APRN11008005 FL Primary

Addresses

Primary practice location

205 E Nasa Blvd FL 2
Melbourne, FL 32901-1950

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 361-5619

Other practice location 1

2323 Nuthatch St
Saint Cloud, FL 34771-8421
Phone (321) 527-6814

Other practice location 2

710 Oak Commons Blvd Ste 210
Kissimmee, FL 34741-4100
Phone (407) 846-6747

Other practice location 3

3106 17th St
Saint Cloud, FL 34769-6021
Phone (407) 846-6747

Other identifiers 2

IdentifierTypeStateIssuer
OH811OtherFLMEDICARE HF
112306400MedicaidFL

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
I20211021001076 FL Practitioner - Nurse Practitioner 4385032549 Reassigns benefits to 3 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
Gastroenterology Assoc of Central FLGroup PAC ID 1456331545, 12 clinicians

Practice addresses (Care Compare)

1817 N Mills Ave
Orlando, FL 32803-1853
Phone (407) 896-1726

4106 W Lake Mary Blvd
Suite 201
Lake Mary, FL 32746-3344
Phone (407) 896-1726

7432 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone (407) 896-1726

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince Feb 1, 2024 Accepting new patients
Gastro Health LLC Current Accepting new patients
Gastro Health, LLC CurrentSince Feb 1, 2024 Accepting new patients
Gastroenterology Associate of Central Florida CurrentSince Nov 17, 2025 Accepting new patients
Gastroenterology and Nutrition Specialist PA CurrentSince Nov 6, 2023 Accepting new patients
Gastro Health, LLC PastSince May 7, 2023 Accepting new patients
Gastro Health, LLC PastSince Feb 11, 2024 Accepting new patients

Locations

710 Oak Commons Blvd
Ste 210
Kissimmee, FL 34741

4106 W Lake Mary Blvd
Ste 201
Lake Mary, FL 32746
Phone (407) 425-1566

1817 N Mills Ave
Orlando, FL 32803
Phone (407) 241-3248

2880 S Osceola Ave
Orlando, FL 32806
Phone (407) 843-0443

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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 3

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1922626647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-361-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E NASA BLVD FL 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011950",
            "telephone_number": "321-361-5619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Nuthatch St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347718421",
            "country_code": "US",
            "telephone_number": "321-527-6814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Oak Commons Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414100",
            "country_code": "US",
            "telephone_number": "407-846-6747",
            "fax_number": "407-846-6186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3106 17th St",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347696021",
            "country_code": "US",
            "telephone_number": "407-846-6747",
            "fax_number": "407-846-6186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORKOWSKI",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008005",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "OH811",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112306400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.