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

Melody Koback

Individual provider Nurse Practitioner · NPI 1952802043

Melody Koback is a Nurse Practitioner in Deltona, Florida. Qualified in 2017, 9 years ago. Practices with Northeast Florida Health Services, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
Specialties on file
4

Practice location Address checks out

1200 Deltona Blvd Ste 40A
Deltona, FL 32725-6386
Phone: (386) 202-6025
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11002961 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11002961 (FL)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APRN11002961 (FL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence APRN11002961 (FL)

Record details

NPI number1952802043
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2018
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Northeast Florida Health Services, Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Deltona