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THE SURGERY CENTER OF MELBOURNE
NPI 1487885182
Nurse Anesthetist, Certified Registered in Melbourne, FL

Active since July 30, 2009
1401 S APOLLO BLVD, SUITE B, MELBOURNE, FL 32901(321) 725-5151(321) 725-5157 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About The Surgery Center Of Melbourne NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE SURGERY CENTER OF MELBOURNE (NPI 1487885182) is a healthcare organization registered as a nurse anesthetist, certified registered in Melbourne, Florida and active in the NPI registry since July 2009. The organization lists Phillip A. Clendenin, President, as its authorized official.

NPPES Registry Identity

NPI1487885182
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameMELBOURNE ASC LP
Location Address1401 S APOLLO BLVD, SUITE BMelbourne, FL 32901-3179
Mailing Address1401 S Apollo Blvd, Suite BMelbourne, FL 32901-3179 · (321) 725-5151 · Fax (321) 725-5157
Phone(321) 725-5151
Fax(321) 725-5157
Organization SubpartNo
Authorized OfficialPhillip A. ClendeninPresident · (615) 665-1283
Enumeration DateJuly 30, 2009
Last NPPES UpdateSeptember 7, 2023
✔ NPI 1487885182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1401 S APOLLO BLVD, Melbourne, FL 32901
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Other Names 1

Doing Business AsThe Surgery Center Of Melbourne

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Surgery Center Of Melbourne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to The Surgery Center Of Melbourne, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mark Williams, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447380258
1401 S APOLLO BLVD SUITE B
Melbourne, FL 32901
(321) 725-5151
✔ Accepts MedicareSame address
Karen Tower, C.R.N.A.
Certified Registered Nurse Anesthetist (CRNA)
NPI 1174613376
1974 US HIGHWAY 1 SUITE 102
Rockledge, FL 32955
(321) 504-4440
15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melbourne ASC LP's NPI number?

The NPI number for Melbourne ASC LP is 1487885182. It was assigned to this organization in the NPPES registry on July 30, 2009. The provider is doing business as The Surgery Center Of Melbourne.

Where is Melbourne ASC LP located?

Melbourne ASC LP is located at 1401 S Apollo Blvd Suite B, Melbourne, FL 32901. The listed phone number is (321) 725-5151.

What is Melbourne ASC LP's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Melbourne ASC LP enrolled in Medicare?

Yes. Melbourne ASC LP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Melbourne ASC LP?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Melbourne ASC LP. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Melbourne ASC LP was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.