Individual provider Active NPI

Michaela Slover, NP

  • Family Nurse Practitioner
  • Port Orange, FL
National Provider Identifier
1184495939
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030429 Issued in FL
Practice address
5954 Park Ridge Dr
Port Orange, FL 32127-7547
Phone
(386) 589-0269
NPI assigned
Jan 10, 2024
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 APRN11030429 FL Primary

Addresses

Primary practice location

5954 Park Ridge Dr
Port Orange, FL 32127-7547

Mailing address

5954 Park Ridge Dr
Port Orange, FL 32127-7547
Phone (386) 589-0269

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
I20240516002271 FL Practitioner - Nurse Practitioner 7012358427 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11030429FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Docs Family CurrentSince May 1, 2024 Accepting new patients
Primary Care of Oc LLC CurrentSince May 1, 2024 Accepting new patients
Primary Care of Orange City LLC Family CurrentSince May 1, 2024 Accepting new patients
Primary Care of Orange City LLC CurrentSince May 1, 2024 Accepting new patients

Locations

135 E Minnesota Ave
Orange City, FL 32763
Phone (386) 241-0274

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24896/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1184495939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5954 PARK RIDGE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321277547",
            "telephone_number": "386-589-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5954 PARK RIDGE DR",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321277547",
            "telephone_number": "386-589-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVER",
        "first_name": "MICHAELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.