Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melody Koback

Individual provider Nurse Practitioner · NPI 1952802043

Melody Koback is a Nurse Practitioner in Deltona, Florida. Qualified in 2017, 9 years ago. Practices with Northeast Florida Health Services, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
Specialties on file
4
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Practice location Address checks out

1200 Deltona Blvd Ste 40A
Deltona, FL 32725-6386
Phone: (386) 202-6025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11002961 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11002961 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN11002961 (FL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APRN11002961 (FL)

Record details

NPI number1952802043
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2018
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address1205 S Woodland Blvd Ste 3, Deland, FL 32720-7464

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northeast Florida Health Services, Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Deltona