Individual provider Active NPI

Islande Philippe Michel, APRN

  • Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1215576947
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11005509 Issued in FL
Practice address
3355 Burns Rd Ste 306
Palm Beach Gardens, FL 33410-4357
Phone
(561) 630-8775
NPI assigned
Dec 28, 2019
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11005509 FL Primary

Addresses

Primary practice location

3355 Burns Rd Ste 306
Palm Beach Gardens, FL 33410-4357

Mailing address

876 Quartz Ter
West Palm Beach, FL 33413-1200

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
I20240627000632 FL Practitioner - Nurse Practitioner 1254875628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11005509FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Multispecialty Group of Florida LLC CurrentSince Jun 1, 2024 Accepting new patients
Gastroenterology Specialist Inc PastSince Mar 7, 2013 Accepting new patients
Gastroenterology Specialists Inc Past Accepting new patients

Locations

1447 Medical Park Blvd
Ste 405
Wellington, FL 33414
Phone (561) 767-8342

Organizations & group practices 3

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": "1577491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1215576947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 QUARTZ TER",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BURNS RD STE 306",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104357",
            "telephone_number": "561-630-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPPE MICHEL",
        "first_name": "ISLANDE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-28",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.