Michelle Selvaggi, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

9999999 Issued in FL

Practice address

6771 Professional Pkwy Ste 203
Lakewood Ranch, FL 34240-8482

Phone

(941) 907-7372

NPI assigned

Jul 30, 2015

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

Other names 1

• Michelle Issacs Former name

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Dermatology, LLCGroup PAC ID 6002031531, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Premier Dermatology, LLC

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1700202298
  Medicare reassignment Care Compare group
• On Site Dermatology LLC

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1215978713
  NPD
• Robert P.Finkelstein,D.O., P.a.

  • Dermatology Physician
  • Sarasota, FL
  • NPI 1548329774
  NPD
• Pioneer Medical Group, PL

  • Internal Medicine Physician
  • Temple Terrace, FL
  • NPI 1710315775
  NPD (past)
• Dr Mangia Associataes PC

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1073830527
  NPD (past)
• Dr Mangia Associates PC

  • Infectious Disease Physician
  • Jersey City, NJ
  • NPI 1003101270
  NPD (past)
• Mid-America Cardiology Associates, Inc.

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1467406306
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1275918385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 INTERSTATE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408996",
            "telephone_number": "941-343-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6771 PROFESSIONAL PKWY STE 203",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408482",
            "telephone_number": "941-907-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Kempsville Rd Ste 309",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023800",
            "country_code": "US",
            "telephone_number": "757-461-1033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Coastal Way",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204603",
            "country_code": "US",
            "telephone_number": "757-461-1033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELVAGGI",
        "first_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9999999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ISSACS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Michelle Scruggs, RBT
• Seasons Therapy LLC
• Seek Childlife
• Segovia Orthodontics at Lakewood Ranch
• Kelley Marie Seibert
• Ryan Serra, D.M.D., M.S.
• Serrano Chiropractic and Wellness LLC
• Alisha Sexton, LMT
• Nancy Shahan
• Christopher Shalhoub, RPH

• Primary Care Nurse Practitioner in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.