Individual provider Active NPI

Michael Ronselli, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1114625712
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11026517 Issued in FL
Practice address
14150 SW 136TH St
Miami, FL 33186-5506
Phone
(786) 204-4600
NPI assigned
Feb 22, 2023
Last updated
Jul 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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 APRN11026517 FL Primary

Addresses

Primary practice location

14150 SW 136TH St
Miami, FL 33186-5506

Mailing address

11400 SW 107TH Ave
Miami, FL 33176-4025
Phone (786) 218-9409

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
I20230719000141 FL Practitioner - Nurse Practitioner 4587024807 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

975 Baptist Way
Homestead Hospital
Homestead, FL 33033-7600
Phone (786) 243-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11026517FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Physicians of Country Walk, LLC CurrentSince Jul 10, 2023 Accepting new patients
Paragon Contracting Services LLC CurrentSince Feb 1, 2024 Accepting new patients
Emergent Physicians of Doral, LLC CurrentSince Jul 10, 2023 Accepting new patients
Emergent Physicians of West Dade, LLC CurrentSince Jun 1, 2025 Accepting new patients
Emergent Physicians of Palmetto Bay, LLC CurrentSince Dec 1, 2025 Accepting new patients
Emergent Physicians of Miami Lakes, LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

14150 SW 136th St
Miami, FL 33186
Phone (786) 204-4600

14591 SW 26th St
Miami, FL 33175
Phone (786) 204-4600

15200 NW 77th Ct
Miami Lakes, FL 33016
Phone (786) 595-1800

8750 SW 144th St
Ste 100
Palmetto Bay, FL 33176
Phone (305) 253-5585

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1114625712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331764025",
            "telephone_number": "786-218-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 SW 136TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865506",
            "telephone_number": "786-204-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONSELLI",
        "first_name": "MICHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11026517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.