Active NPI
Michael J Prendergast, A.R.N.P.
- Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1003886920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9199787
- Practice address
- 22089 US Highway 19 N
Clearwater, FL 33765-2364 - Phone
- (727) 287-2784
- Fax
- (727) 669-9260
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9199787 | FL | Primary |
Addresses
Primary practice location
22089 US Highway 19 N
Clearwater, FL 33765-2364
Mailing address
PO Box 16264
Clearwater, FL 33766-6264
Phone (727) 287-2784
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y080H | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9199787 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003886920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16264",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337666264",
"telephone_number": "727-287-2784",
"fax_number": "727-669-9260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22089 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337652364",
"telephone_number": "727-287-2784",
"fax_number": "727-669-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENDERGAST",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9199787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y080H",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
- Premier Anesthesia of the Sunshine State LLC
- Premier Miller Orthopedic Centers, Inc.
- Premier Radiation Oncology Associates LLC
- Premier Radiology, LLP
- Premier Surgical Suites, LLC
- Geraldo Prestes de Camargo Filho
- Prestigious Senior Home Health Care Inc
- Preventive Healthcare Solutions, LLC
- Pri X-Ray, LLC
- Staci L. Price-McCarthy, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.