Individual provider Active NPI

Kathleen Verpaele, APRN

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1942446885
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9192811 Issued in FL
Practice address
7125 Murrell Rd
Suite a
Melbourne, FL 32940-7999
Phone
(321) 574-9146
Fax
(321) 751-9362
NPI assigned
Dec 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9192811 FL
Family Nurse Practitioner 363LF0000X ARNP9192811 FL
Nurse Practitioner 363L00000X APRN9192811 FL Primary

Addresses

Primary practice location

7125 Murrell Rd
Suite a
Melbourne, FL 32940-7999

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Other practice location 1

1220 N Highway A1A Ste A
Indialantic, FL 32903-2848
Phone (321) 574-9146

Other identifiers 1

IdentifierTypeStateIssuer
001533200MedicaidFL

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
I20091026000191 FL Practitioner - Nurse Practitioner 5395882245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

6470 US Hwy 1
Rockledge, FL 32955-5747
Phone (321) 425-2298

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958-4879
Phone (727) 617-1777

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9192811FLMDRegistered Nurse
APRN9192811FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Island Dermatology and Wellness Nurse Practitioner CurrentSince Aug 30, 2023 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 23, 2025 Accepting new patients
Osler Medical Inc Past Accepting new patients
Center for Skin Cancer Surgery, Inc. Past Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

1220 N Highway A1A
Ste 147
Indialantic, FL 32903
Phone (321) 951-9087

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

6470 US Highway 1
Rockledge, FL 32955
Phone (321) 425-2298

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

7125 Murrell Rd
Viera, FL 32940
Phone (321) 242-8790

7125 Murrell Rd
Ste A
Viera, FL 32940
Phone (321) 574-9146

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1942446885",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 MURRELL RD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407999",
            "telephone_number": "321-574-9146",
            "fax_number": "321-751-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 N Highway A1A Ste A",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329032848",
            "country_code": "US",
            "telephone_number": "321-574-9146",
            "fax_number": "321-951-9127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERPAELE",
        "first_name": "KATHLEEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-24",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9192811",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9192811",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9192811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001533200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.