Michelle Jane Madan, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9216767 Issued in FL

Practice address

401 N Wickham Rd
Suite S
Melbourne, FL 32935-8659

Phone

(321) 242-9031

Fax

(321) 242-9035

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1265415103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 PLANTATION DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327802555",
            "telephone_number": "321-383-9529",
            "fax_number": "321-383-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WICKHAM RD",
            "address_2": "SUITE S",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358659",
            "telephone_number": "321-242-9031",
            "fax_number": "321-242-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "MICHELLE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9216767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Mack
• Michael James Mackay, D.M.D.
• John David Mackenney, DPM
• Kristen Marie Macleod
• Cassandra Elaine Macmillian
• Madden Investments LLC
• Kateria Shantal Madden
• Sharifa K Maddix, MD
• Dara Maddox
• Esther G Madeira

• Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.