Individual provider Active NPI

Michelle Mersch, DO

  • Obstetrics & Gynecology Physician
  • Davenport, FL
National Provider Identifier
1154858322
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS17527 Issued in FL
Practice address
2221 North Blvd W
Davenport, FL 33837-8990
Phone
(863) 421-7600
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS17527 FL Primary

Addresses

Primary practice location

2221 North Blvd W
Davenport, FL 33837-8990

Mailing address

2221 North Blvd W
Davenport, FL 33837-8990
Phone (863) 421-7600

Other practice location 1

1001 Highway 60 E
Lake Wales, FL 33853-4208
Phone (863) 421-7600

Other practice location 2

220 Avenue O SE
Winter Haven, FL 33880-4334
Phone (863) 421-7600

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803000341 FL Practitioner - Obstetrics/Gynecology 6002210788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

661 E Altamonte Dr
Altamonte Springs, FL 32701-5102

661 E Altamonte Dr
Altamonte Springs, FL 32701-5103
Phone (407) 303-5204

755 Rinehart Rd
Suite 100
Lake Mary, FL 32746-4885
Phone (407) 834-3300

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17527FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Obstetrics & Gynecology CurrentSince Sep 13, 2021 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 13, 2021 Accepting new patients

Locations

661 E Altamonte Dr
Ste 318
Altamonte Springs, FL 32701
Phone (407) 303-5204

2221 North Blvd W
Davenport, FL 33837
Phone (863) 421-7600

755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100

1001 State Road 60 E
Lake Wales, FL 33853
Phone 8634217600 ext. 235

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

100 Carrigan Ave
Ste 1010
Oviedo, FL 32765

220 Avenue O SE
Winter Haven, FL 33880
Phone 8634217600 ext. 235

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mmersch58346@adventhealth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1154858322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378990",
            "telephone_number": "863-421-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 NORTH BLVD W",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378990",
            "telephone_number": "863-421-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Highway 60 E",
            "address_purpose": "LOCATION",
            "city": "Lake Wales",
            "state": "FL",
            "postal_code": "338534208",
            "country_code": "US",
            "telephone_number": "863-421-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Avenue O SE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338804334",
            "country_code": "US",
            "telephone_number": "863-421-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERSCH",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS17527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

Verify at the official NPI Registry.