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DARYL KEITH HARTLEY PA
NPI 1578873535
Physician Assistant - Medical in Melbourne, FL

Active since October 08, 2010PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
1350 HICKORY ST, MELBOURNE, FL 32901(321) 312-3490(321) 956-2542 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2025, May 9, 2024, Jul 26, 2023 (3 updates tracked since 2023).

About Daryl Keith Hartley Pa NPPES

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

DARYL KEITH HARTLEY PA (NPI 1578873535) is an individual medical provider in Melbourne, Florida, licensed in Florida (PA9116370) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578873535
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDARYL KEITH HARTLEYCredential: PA
Location Address1350 HICKORY STMelbourne, FL 32901-3224
Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 312-3490
Phone(321) 312-3490
Fax(321) 956-2542
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 8, 2010
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1578873535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9116370
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9116370 (FL)
1350 HICKORY ST, Melbourne, FL 32901
Open in Google Maps ↗

Other Identifiers 2

Medicaid118743900FL
OtherQ7657FL · Medicare Hf

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daryl Keith Hartley Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698957496
PECOS Enrollment IDI20230717002902
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
475 services383 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
105 services95 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$64.55 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$32.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOMOR SEDALIU
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
DR. OLGA DORJIMA EMGUSHOV MD,MPH
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
KATHERINE F. IMHOF PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-7485
WILLIAM BRANDON EVANS FNP
Nurse Practitioner (Adult Health)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771
MRS. ALEXA NOELLE REEDY APRN
Nurse Practitioner
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (317) 805-4102
DR. NICOLE SWICORD PHARMD
Pharmacist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1887
DR. KEVIN H WALLACE MD
Internal Medicine (Pulmonary Disease)
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-4225
MARIA DEL C MARTINEZ M.D.
Hospitalist
1350 HICKORY ST
MELBOURNE, FL 32901
Brevard County (321) 434-1771

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 Daryl Hartley's NPI number?

The NPI number for Daryl Hartley is 1578873535. It was assigned to this individual provider in the NPPES registry on October 8, 2010.

Where is Daryl Hartley located?

Daryl Hartley practices at 1350 Hickory St, Melbourne, FL 32901. The listed phone number is (321) 312-3490.

What is Daryl Hartley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Daryl Hartley enrolled in Medicare?

Yes. Daryl Hartley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Daryl Hartley affiliated with any hospitals?

According to CMS data, Daryl Hartley is affiliated with Holmes Regional Medical Center, Cape Canaveral Hospital and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Daryl Hartley was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.