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

Mrs. Pamela Denise Smith, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1386493526

Mrs. Pamela Denise Smith, NURSEPRACTITIONER is a Nurse Practitioner in Melbourne, Florida. Qualified in 2016, 10 years ago. Practices with Cardiorenal Therapeutics LLC, a 34-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2024

Practice location Address checks out

4100 N Wickham Rd Unit 107A-334
Melbourne, FL 32935-2485
Phone: (757) 644-9980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 11032874 (FL)

Record details

NPI number1386493526
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 17, 2024
Last updated in NPPESMay 17, 2024
Certification dateMay 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cardiorenal Therapeutics Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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