Michelle C Minnick, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

83359-2 Issued in FL

Practice address

4741 NW 8TH Ave
Ste a
Gainesville, FL 32605-5510

Phone

(352) 374-9790

Fax

(352) 337-0744

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Simed Health LLC

  • Community/Retail Pharmacy
  • Gainesville, FL
  • NPI 1376616698
  NPD
• Simedhealth LLC

  • Internal Medicine Physician
  • Gainesville, FL
  • NPI 1639680127
  NPD

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1104813229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 NW 8TH AVE",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055510",
            "telephone_number": "352-374-9790",
            "fax_number": "352-337-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 NW 8TH AVE",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326055510",
            "telephone_number": "352-374-9790",
            "fax_number": "352-337-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "MICHELLE",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "83359-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Patricia Minella, APRN
• Patricia A Miner
• Dara Lauren Minervini, LMT
• Yvonne Minich, MOT, OTR/L
• Matthew Carroll Minnette, MD
• Alexandra Burnett Ilstad Minnihan
• Taryn Minor
• Minsung Son DMD PA
• Martha Minteer, LCSW
• Kyla Minutello

• Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.