Individual provider Active NPI

Michelle McGinnis, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1114593308
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012780 Issued in FL
Practice address
910 La Salle Ave
Orlando, FL 32803-3367
Phone
(386) 216-5421
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 APRN11012780 FL Primary

Addresses

Primary practice location

910 La Salle Ave
Orlando, FL 32803-3367

Mailing address

910 La Salle Ave
Orlando, FL 32803-3367
Phone (386) 216-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220907001057 FL Practitioner - Nurse Practitioner 6507240736 Reassigns benefits to 2 organizations
I20250923001088 VA Practitioner - Nurse Practitioner 6507240736 Reassigns benefits to 1 organization
I20251028001285 TN Practitioner - Nurse Practitioner 6507240736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psynergy Health Med PLLCGroup PAC ID 0749714707, 35 clinicians

Practice addresses (Care Compare)

Orlando, FL 32803
Phone (407) 802-1060

116 Agnes Rd
Suite 200
Knoxville, TN 37919-6306
Phone (800) 563-8156

8401 Maryland Dr
Suite S
Richmond, VA 23294-4648
Phone (800) 563-8156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38384TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psynergy Health Med PLLC CurrentSince Sep 23, 2024 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Aug 1, 2022 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

4901 Vineland Rd
Ste 350
Orlando, FL 32811
Phone (407) 469-5088

1603 S Hiawassee Rd
Ste 130
Orlando, FL 32835
Phone (407) 743-5360

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

116 Agnes Rd
#200
Knoxville, TN 37919
Phone (800) 563-8156

8401 Mayland Dr
Ste S
Richmond, VA 23294
Phone (774) 473-8890

Organizations & group practices 3

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1114593308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 LA SALLE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033367",
            "telephone_number": "386-216-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 LA SALLE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033367",
            "telephone_number": "386-216-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.