Individual provider Active NPI

Amelia Ottesen, APRN

  • Family Nurse Practitioner
  • Palm Bay, FL
National Provider Identifier
1972733889
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015905 Issued in FL
Practice address
1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone
(321) 576-0644
Fax
(321) 434-7199
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 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 APRN11015905 FL Primary

Addresses

Primary practice location

1810 Eldron Blvd SE
Palm Bay, FL 32909-6831

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 576-6831

Other practice location 1

390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-3162

Other identifiers 1

IdentifierTypeStateIssuer
UC031OtherFLMEDICARE HF

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
I20220527001073 FL Practitioner - Nurse Practitioner 4880749894 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 434-1981

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers, LLC CurrentSince Jan 1, 2023 Accepting new patients
Health First Medical Group, LLC CurrentSince Feb 15, 2025 Accepting new patients
Medfast Urgent Care Centers LLC CurrentSince Jan 1, 2023 Accepting new patients
VMD Primary Providers Central Florida PLLC Nurse Practitioner CurrentSince Jun 6, 2022 Accepting new patients
Health First Medical Group, LLC CurrentSince Feb 15, 2025 Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

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

390 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 633-3162

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

13700 E Colonial Dr
Orlando, FL 32826
Phone (407) 382-1948

1810 Eldron Blvd SE
Palm Bay, FL 32909
Phone (321) 312-3466

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

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

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aottesen71972@epicdirect.hf.org

Organizations & group practices 6

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 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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1972733889",
    "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": "321-576-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 ELDRON BLVD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096831",
            "telephone_number": "321-576-0644",
            "fax_number": "321-434-7199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 N Courtenay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329533456",
            "country_code": "US",
            "telephone_number": "321-633-3162",
            "fax_number": "321-821-4955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTESEN",
        "first_name": "AMELIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "UC031",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.