Individual provider Active NPI

Jean Mozart Michel

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1124860523
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11031792 Issued in FL
Practice address
6172 Oak Bluff Way
Lake Worth, FL 33467-7136
Phone
(561) 401-8530
NPI assigned
Jun 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11031792 FL Primary

Addresses

Primary practice location

6172 Oak Bluff Way
Lake Worth, FL 33467-7136

Mailing address

6172 Oak Bluff Way
Lake Worth, FL 33467-7136
Phone (561) 401-8530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260106000356 NY Practitioner - Nurse Practitioner 7810483237 Reassigns benefits to 1 organization

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
Livingston CountyGroup PAC ID 8527027093, 10 clinicians

Practice addresses (Care Compare)

4600 Millennium Dr
Geneseo, NY 14454-1197
Phone (585) 243-7250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11031792FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County CurrentSince Oct 20, 2025 Accepting new patients
Livingston County Single Specialty CurrentSince Oct 20, 2025 Accepting new patients

Locations

4600 Millennium Dr
Geneseo, NY 14454
Phone (585) 243-7250

Organizations & group practices 2

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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1124860523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6172 OAK BLUFF WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677136",
            "telephone_number": "561-401-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6172 OAK BLUFF WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677136",
            "telephone_number": "561-401-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "JEAN",
        "middle_name": "MOZART",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11031792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.