Individual provider Active NPI

Michele L Anderson, APRN, CNM

  • Advanced Practice Midwife
  • Winter Park, FL
National Provider Identifier
1205250719
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN3167932 Issued in FL
Practice address
2035 Glenwood Dr
Winter Park, FL 32792-3307
Phone
(407) 960-2112
Fax
(407) 960-7024
NPI assigned
Feb 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN3167932 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP3167932 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X APRN3167932 FL
Advanced Practice Midwife 367A00000X APRN3167932 FL Primary

Addresses

Primary practice location

2035 Glenwood Dr
Winter Park, FL 32792-3307

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (407) 960-2112

Other practice location 1

867 Outer Rd Ste A
Orlando, FL 32814-6652
Phone (407) 898-6588

Other identifiers 2

IdentifierTypeStateIssuer
010584100MedicaidFL
NP392OtherFLMEDICARE HF

Other names 1

  • Michele Lee Heflin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140602000904 FL Practitioner - Certified Nurse Midwife (CNM) 0648493197 Reassigns benefits to 2 organizations
I20151209001661 FL Practitioner - Nurse Practitioner 0648493197 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN3167932FLMDWomen's Health Nurse Practitioner
ARNP3167932FLMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Aug 1, 2016 Accepting new patients
Women's Care Florida LLC Advanced Practice Midwife CurrentSince Aug 1, 2015 Accepting new patients

Locations

2400 Hooks St
Clermont, FL 34711
Phone (352) 241-6460

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: manderson129107@orlandohealth.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1205250719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "407-960-2112",
            "fax_number": "407-960-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 GLENWOOD DR",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923307",
            "telephone_number": "407-960-2112",
            "fax_number": "407-960-7024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 Outer Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328146652",
            "country_code": "US",
            "telephone_number": "407-898-6588",
            "fax_number": "407-896-3785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-05",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN3167932",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP3167932",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN3167932",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN3167932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010584100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "NP392",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "HEFLIN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.