Individual provider Active NPI

Michelle H. Pipino, ARNP

  • Family Nurse Practitioner
  • Lakewood Ranch, FL
National Provider Identifier
1033352331
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9165852 Issued in FL
Practice address
6320 Venture Dr
Suite 205
Lakewood Ranch, FL 34202-5130
Phone
(941) 924-9955
Fax
(941) 924-5616
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9165852 FL Primary

Addresses

Primary practice location

6320 Venture Dr
Suite 205
Lakewood Ranch, FL 34202-5130

Mailing address

PO Box 499
Parrish, FL 34219-0499
Phone (941) 776-4000

Other identifiers 1

IdentifierTypeStateIssuer
001675300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241001002383 FL Order and Referring Only - Nurse Practitioner 4183774383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine City Emergency Physicians Past Accepting new patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ms_mpipino@landmarkhealth-direct.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1033352331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 499",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342190499",
            "telephone_number": "941-776-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 VENTURE DR",
            "address_2": "SUITE 205",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025130",
            "telephone_number": "941-924-9955",
            "fax_number": "941-924-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPINO",
        "first_name": "MICHELLE",
        "middle_name": "H.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9165852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001675300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.