LAURA ANN DIJEROME (RN, CNP) – Nurse Practitioner, NPI 1063519148

Nurse Practitioner

LAURA ANN DIJEROME (RN, CNP) is a healthcare provider. based in Cocoa beach, Florida. specializing in Nurse Practitioner. They hold the professional credentials RN, CNP. They hold a License No. ARNP9341204 (FL). The NPI Number for LAURA ANN DIJEROME (RN, CNP) is 1063519148

Main info

Female

Sole Proprietor

38 Years Of Experience

Accepts Medicare Assignment

Name

LAURA ANN DIJEROME (RN, CNP)

NPI

1063519148

Phone

(321) 799-2840

Address

80 WOODLAND AVE

Enumeration Date

20 September 2006

Last Update Date

13 February 2015

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3217681600

Graduation Year

1988 (38 years ago)

PAC ID

6305853870

Group Practice PAC ID

1557269982

Professional Enrollment ID

I20140306000950

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LAURA ANN DIJEROME (RN, CNP)

80, Woodland Avenue, Cocoa Beach, Brevard County, Florida, 32931, United States
COCOA BEACH, FL 329312854
Phone: (321) 799-2840
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32931)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1557269982View full group profile

Name	Specialty	State
MS. JEANETTE MARIE GLUCK (PA-C)	Physician Assistant	FL
MR. JAMES MICHAEL JR. MAGILL (M.D.)	Pathology, Dermatology	FL
NICHOLE M PALOMBA (PA-C)	Physician Assistant	MA
DR. RUBEN ANTENOR MORENO (MD)	D E R M A T O L O G Y	FL
ANTHONY MORENO (PA-C)	Physician Assistant	FL
BETSY COODUVALLI (DO)	-	FL
FRANK G LEE (M.D.)	-	FL
CHRISTOPHER JOHN CARLISLE (PA-C)	Physician Assistant	FL
JULIANNE PRETE (PA-C)	Physician Assistant	FL
MRS. HELEN GILMORE TURK (PA-C)	Physician Assistant	FL