What is Ivan Tanner's NPI number?

Ivan Tanner's National Provider Identifier (NPI) is 1831044106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ivan Tanner's specialty?

Ivan Tanner is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Ivan Tanner located?

Ivan Tanner's practice location on file with NPPES is 2100 N Wickham Rd, Melbourne, FL 32935-8110.

What is Ivan Tanner's phone number?

The practice phone number listed in the NPPES registry for Ivan Tanner is (321) 752-7100.

Is Ivan Tanner's NPI active?

Yes — Ivan Tanner's NPI (1831044106) is active in the NPPES registry as of the last update on 2026-03-03.

IndividualActive

Ivan Tanner

NPI 1831044106 · Physician Assistant · Melbourne, FL

Ivan Tanner is a Physician Assistant provider in Melbourne, FL (NPI 1831044106).

Provider details

NPI number: 1831044106
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: No
License: PA9121206 (FL)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense PA9121206 (FL)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2100 N Wickham Rd

Melbourne, FL 32935-8110

Phone: (321) 752-7100

Street-level locationGet directions

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Mailing address