Individual provider Active NPI

Michelle Nichole Sin, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Coconut Creek, FL
National Provider Identifier
1104674753
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11032743 Issued in FL
Practice address
3679 Cocoplum Cir Unit 3528
Coconut Creek, FL 33063-5934
Phone
(717) 658-8353
NPI assigned
May 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11032743 FL Primary

Addresses

Primary practice location

3679 Cocoplum Cir Unit 3528
Coconut Creek, FL 33063-5934

Mailing address

3679 Cocoplum Cir Unit 3528
Coconut Creek, FL 33063-5934
Phone (717) 658-8353

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
I20240805001611 FL Practitioner - Nurse Practitioner 4981141272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intensive Care Experts Health Network, LLCGroup PAC ID 6608195599, 99 clinicians

Practice addresses (Care Compare)

1010 Carpenters Way
Lakeland, FL 33809-3926
Phone (863) 815-0488

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

1620 Helvenston St SE
Live Oak, FL 32064-3474
Phone (386) 362-7860

1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897

1700 Monroe Ave
Maitland, FL 32751-6672
Phone (407) 647-2092

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700

1851 Elkcam Blvd
Deltona, FL 32725-3922
Phone (386) 789-3769

2020 W Lake Parker Dr
Lakeland, FL 33805-5005
Phone (863) 682-7580

2370 Harbor Blvd
Port Charlotte, FL 33952-5024
Phone (941) 624-5966

3001 S Congress Ave
Boynton Beach, FL 33426-9012
Phone (561) 737-5600

3600 Old Boynton Rd
Boynton Beach, FL 33436-3912
Phone (561) 736-9992

375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111

390 NE 135TH St
North Miami, FL 33161-3967
Phone (305) 895-4804

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

4405 Lakewood Rd
Lake Worth, FL 33461-3414
Phone (561) 969-1400

5245 N Socrum Loop Rd
Lakeland, FL 33809-4253
Phone (863) 859-1446

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

7225 Boca del Mar Dr
Boca Raton, FL 33433-5517
Phone (561) 362-9644

800 NW 95 St
Miami, FL 33150-2032
Phone (305) 836-1550

Hospital & facility affiliations

  • Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032743FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott R English MD PA CurrentSince Aug 1, 2024 Accepting new patients
Intensive Care Experts Health Network LLC Acute Care CurrentSince Apr 1, 2025 Accepting new patients
P M Group FL LLC CurrentSince Aug 1, 2024 Accepting new patients
Scott R English MD PA CurrentSince Aug 1, 2024 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Apr 1, 2025 Accepting new patients
Knock Your Socks Off Foot & Ankle Specialist LLC Past Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

16470 NE 10th Ave
North Miami Beach, FL 33162
Phone (305) 651-9988

2209 N University Dr
Pembroke Pines, FL 33024
Phone (954) 966-5700

1001 NE 3rd Ave
Pompano Beach, FL 33060
Phone (954) 786-0344

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1104674753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3679 COCOPLUM CIR UNIT 3528",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635934",
            "telephone_number": "717-658-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3679 COCOPLUM CIR UNIT 3528",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330635934",
            "telephone_number": "717-658-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIN",
        "first_name": "MICHELLE",
        "middle_name": "NICHOLE",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11032743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.