Individual provider Active NPI

Melissa Aycock, APRN

  • Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1962286864
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11028245 Issued in FL
Practice address
3730 7TH Ter Ste 101
Vero Beach, FL 32960-6556
Phone
(772) 567-2332
Fax
(844) 812-2806
NPI assigned
Aug 22, 2023
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11028245 FL
Acute Care Nurse Practitioner 363LA2100X 11028245 FL
Gerontology Nurse Practitioner 363LG0600X APRN11028245 FL
Nurse Practitioner 363L00000X APRN11028245 FL Primary

Addresses

Primary practice location

3730 7TH Ter Ste 101
Vero Beach, FL 32960-6556

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

600 Shannon Ave
Melbourne Beach, FL 32951-2156
Phone (504) 810-4356

Other practice location 2

1344 S Apollo Blvd Ste 303
Melbourne, FL 32901-3185
Phone (321) 727-3495

Other practice location 3

13060 US Highway 1 Ste A
Sebastian, FL 32958-3733
Phone (772) 589-0879

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
I20231024002559 FL Practitioner - Nurse Practitioner 4880040062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
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

205 E Nasa Blvd
Suite 200
Melbourne, FL 32901-1954
Phone (770) 312-5226

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11028245FLMDNurse Practitioner
11028245FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Healthcare, Inc. CurrentSince Dec 4, 2023 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Sep 3, 2024 Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

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

1344 S Apollo Blvd
Ste 303
Melbourne, FL 32901
Phone (321) 727-3495

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

13060 US Highway 1
Fl Cancer
Sebastian, FL 32958
Phone (772) 589-0879

13060 US Highway 1
Ste A
Sebastian, FL 32958
Phone (772) 589-0879

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

3730 7th Ter
Ste 101
Vero Beach, FL 32960
Phone (772) 567-2332

Interoperability endpoints

  • Direct secure messaging: maycock26937@epicdirect.hf.org
  • Direct secure messaging: melissa.aycock.1@8042.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1962286864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 7TH TER STE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606556",
            "telephone_number": "772-567-2332",
            "fax_number": "844-812-2806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Shannon Ave",
            "address_purpose": "LOCATION",
            "city": "Melbourne Beach",
            "state": "FL",
            "postal_code": "329512156",
            "country_code": "US",
            "telephone_number": "504-810-4356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1344 S Apollo Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013185",
            "country_code": "US",
            "telephone_number": "321-727-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13060 US Highway 1 Ste A",
            "address_purpose": "LOCATION",
            "city": "Sebastian",
            "state": "FL",
            "postal_code": "329583733",
            "country_code": "US",
            "telephone_number": "772-589-0879",
            "fax_number": "844-795-2187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYCOCK",
        "first_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028245",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11028245",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11028245",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11028245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.