NPIMap

Individual provider Active NPI

Cristi Leeberg

  • Adult Health Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1982971404
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9186150 Issued in FL
Practice address
1785 Waverly PL
Melbourne, FL 32901-4641
Phone
(321) 216-2288
Fax
(321) 216-2255
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9186150 FL Primary

Addresses

Primary practice location

1785 Waverly PL
Melbourne, FL 32901-4641

Mailing address

1785 Waverly PL
Melbourne, FL 32901-4641
Phone (321) 216-2288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120309000389 FL Practitioner - Nurse Practitioner 3173782216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Kut Above Mobile Medical IncGroup PAC ID 3779921929, 4 clinicians
Practitioners in Motion PLLCGroup PAC ID 9335456755, 9 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9186150FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Practitioners in Motion PLLC CurrentSince Jun 7, 2015 Accepting new patients
A Kut Above Mobile Medical Inc CurrentSince Feb 21, 2024 Accepting new patients
Practitioners in Motion of Florida, LLC Current Accepting new patients
Brevard Health Center PL CurrentSince May 5, 2015 Accepting new patients
Physicians of South Florida, LLC PastSince Mar 28, 2011 Accepting new patients

Locations

1900 S Harbor City Blvd
Ste 232
Melbourne, FL 32901
Phone (321) 216-2288

1785 Waverly Pl
Melbourne, FL 32901
Phone (321) 216-2288

1785 Waverly Pl
Ste A
Melbourne, FL 32901
Phone (321) 216-2288

298 Michigan Ave
Ste 101
Melbourne, FL 32901
Phone (321) 215-6899

1900 S Harbor City Blvd
Ste 225
Melbourne, FL 32901
Phone (321) 216-2288

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2982/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 8

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": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1982971404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 WAVERLY PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014641",
            "telephone_number": "321-216-2288",
            "fax_number": "321-216-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 WAVERLY PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014641",
            "telephone_number": "321-216-2288",
            "fax_number": "321-216-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEEBERG",
        "first_name": "CRISTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9186150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.