Individual provider Active NPI

Michelle T Brown, APRN, AGNP-C

  • Adult Health Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1053070482
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11016986 Issued in FL
Practice address
150 S Pine Island Rd Ste 300
Plantation, FL 33324-2665
Phone
(954) 247-8055
Fax
(954) 405-8677
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11016986 FL
Primary Care Nurse Practitioner 363LP2300X APRN11016986 FL
Adult Health Nurse Practitioner 363LA2200X APRN11016986 FL Primary

Addresses

Primary practice location

150 S Pine Island Rd Ste 300
Plantation, FL 33324-2665

Mailing address

150 S Pine Island Rd Ste 300
Plantation, FL 33324-2665
Phone (954) 247-8055

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
I20220124000761 FL Practitioner - Nurse Practitioner 5698167005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11016986FLMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: michelle.brown@398008301912068.direct.elationemr.com
  • Direct secure messaging: michelle.brown.1@28828.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1053070482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S PINE ISLAND RD STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242665",
            "telephone_number": "954-247-8055",
            "fax_number": "954-405-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S PINE ISLAND RD STE 300",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242665",
            "telephone_number": "954-247-8055",
            "fax_number": "954-405-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MICHELLE",
        "middle_name": "T",
        "credential": "APRN, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11016986",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11016986",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11016986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.