MELISSA ROSE CORDOVA (ARNP) – Family Nurse Practitioner, NPI 1124507751

MELISSA ROSE CORDOVA (ARNP) is a healthcare provider. based in Brandon, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP9325307 (FL). The NPI Number for MELISSA ROSE CORDOVA (ARNP) is 1124507751

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA ROSE CORDOVA (ARNP)
NPI
1124507751
Phone
(813) 850-7434
Address
1134 KYLE WOOD LN
Enumeration Date
14 August 2018
Last Update Date
14 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136855100
Graduation Year
2017 (9 years ago)
PAC ID
9638415995
Group Practice PAC ID
9638357080
Professional Enrollment ID
I20190108003232
Address ID
FL335115942BR609XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

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Provider Addresses for MELISSA ROSE CORDOVA (ARNP)

  • Kyle Wood Lane, Brandon, Hillsborough County, Florida, 33511-8819, United States

    BRANDON, FL 335114850

    Phone: (813) 850-7434

    Fax: (813) 482-9794

    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)

CMS reports 76 Open Payments records for all available years, with a total value of $1,767.

Total Amount is formed as General ($1,767) + Research ($0) + Ownership ($0) = $1,767.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($541).

Total Amount

$1,767

General + Research + Ownership

Payments

76

Total payment records

General Amount

$1,767

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190108003232INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 33511)

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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: 9638357080View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineFL

Reviews

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Frequently asked questions

Can I verify MELISSA ROSE CORDOVA (ARNP) with an NPI only?
You can start verification with NPI 1124507751 for MELISSA ROSE CORDOVA (ARNP), then check state licensing separately.
Can I rely on MELISSA ROSE CORDOVA (ARNP) being an active provider?
As of the registry snapshot, MELISSA ROSE CORDOVA (ARNP) is marked active.
What is MELISSA ROSE CORDOVA (ARNP)'s specialty?
The listing groups MELISSA ROSE CORDOVA (ARNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MELISSA ROSE CORDOVA (ARNP) based?
MELISSA ROSE CORDOVA (ARNP) is tied to Brandon, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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