Active NPI
Peter Casimir Ciechanowski, APRN
- Family Nurse Practitioner
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11025562
- Practice address
- 1900 S Harbor City Blvd Ste 225
Melbourne, FL 32901-4789 - Phone
- (321) 216-2288
- NPI assigned
- Apr 3, 2023
- Last updated
- Apr 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11025562 | FL | Primary |
Addresses
Primary practice location
1900 S Harbor City Blvd Ste 225
Melbourne, FL 32901-4789
Mailing address
13850 83Rd St
Fellsmere, FL 32948-6267
Phone (412) 758-1035
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Rockledge Blvd
Rockledge, FL 32955-2846
Phone (321) 735-8960
1785 Waverly PL
Suite a
Melbourne, FL 32901-4641
Phone (321) 216-2288
1900 S Harbor Blvd
Suite 232
Melbourne, FL 32901-3805
Phone (321) 216-2288
206 E New Haven Ave
Melbourne, FL 32901-4504
Phone (321) 802-3311
2500 Minton Rd
West Melbourne, FL 32904-6602
Phone (321) 633-3278
390 N Courtenay Pkwy
Merritt Island, FL 32953-3456
Phone (321) 633-3162
490 Ctr Lake Dr NE
Suite 200
Palm Bay, FL 32907-1113
Phone (321) 751-7222
5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222
820 Palm Bay Rd NE
Suite 110
Palm Bay, FL 32905-6351
Phone (321) 633-3278
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11025562 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Kut Above Mobile Medical Inc | Current | Accepting new patients | |
| Medfast Urgent Care Centers LLC | Current | Accepting new patients | |
| Medfast Urgent Care Centers, LLC | Current | Accepting new patients | |
| Practitioners in Motion PLLC | Current | Accepting new patients |
Locations
1785 Waverly Pl
Ste A
Melbourne, FL 32901
Phone (321) 216-2288
1900 S Harbor City Blvd
Ste 225
Melbourne, FL 32901
Phone (321) 216-2288
1900 S Harbor City Blvd
Ste 232
Melbourne, FL 32901
Phone (321) 216-2288
7970 N Wickham Rd
Melbourne, FL 32940
Phone (321) 255-7711
5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556
Networks
- Freedom Health HMO Network
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Nurse Practitioner
- Melbourne, FL
- NPI 1255195749
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1285735605
-
- Primary Care Clinic/Center
- Melbourne, FL
- NPI 1447637582
-
- Urgent Care Clinic/Center
- Sebastian, FL
- NPI 1376421479
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trilogy Home Healthcare
- Home Health Agency
- Port St Lucie, FL
- NPI 1831365253
-
- Home Health Agency
- Vero Beach, FL
- NPI 1629009972
-
- Home Health Agency
- Merritt Island, FL
- NPI 1952331688
-
dba HCA Florida Healthcare at Home
- Home Health Agency
- Melbourne, FL
- NPI 1902881642
-
dba HCA Florida Healthcare at Home
- Home Health Agency
- Fort Pierce, FL
- NPI 1922083666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1982309795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13850 83RD ST",
"city": "FELLSMERE",
"state": "FL",
"postal_code": "329486267",
"telephone_number": "412-758-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S HARBOR CITY BLVD STE 225",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014789",
"telephone_number": "321-216-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIECHANOWSKI",
"first_name": "PETER",
"middle_name": "CASIMIR",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11025562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.