Individual provider Active NPI

Michal Jhenna Wright

  • Advanced Practice Midwife
  • Orange City, FL
National Provider Identifier
1215412747
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
9496318 Issued in FL
Practice address
1061 Medical Center Dr Ste 102
Orange City, FL 32763-8225
Phone
(386) 456-3852
NPI assigned
Oct 1, 2018
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW010751 PA
Advanced Practice Midwife 367A00000X 9496318 FL Primary

Addresses

Primary practice location

1061 Medical Center Dr Ste 102
Orange City, FL 32763-8225

Mailing address

850 W Plymouth Ave
Deland, FL 32720-3284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190917000401 FL Practitioner - Certified Nurse Midwife (CNM) 7719216746 Reassigns benefits to 2 organizations
I20221004003882 OR Practitioner - Certified Nurse Midwife (CNM) 7719216746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Health FL, PAGroup PAC ID 5092253245, 33 clinicians

Practice addresses (Care Compare)

1061 Medical Ctr Dr
Suite 102
Orange City, FL 32763-8225
Phone (386) 456-3852

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
62.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9496318FLMDAdvanced Practice Midwife
MW010751PAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc CurrentSince Jul 13, 2022 Accepting new patients
Columbia Lutheran Charities Current Accepting new patients
Diana Health FL P.a. Advanced Practice Midwife CurrentSince Oct 6, 2024 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Southwest Volusia Healthcare Corporation PastSince Jun 30, 2024 Accepting new patients
Absolute OBGYN LLC Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

1046 Mar Walt Dr
Ste 200
Fort Walton Beach, FL 32547
Phone (850) 243-2229

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

1901 SW 172nd Ave
Miramar, FL 33029
Phone (954) 276-5401

1061 Medical Center Dr
Ste 102
Orange City, FL 32763
Phone (386) 456-3852

12969 S US 301
Riverview, FL 33578
Phone (813) 971-6909

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

2265 Exchange St
Astoria, OR 97103
Phone (503) 338-4075

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23211/brand/1/csg/21/fhir/r4
  • Direct secure messaging: michal.wright.1@23211.direct.athenahealth.com

Organizations & group practices 7

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1215412747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 MEDICAL CENTER DR STE 102",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638225",
            "telephone_number": "386-456-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MICHAL",
        "middle_name": "JHENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010751",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9496318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.