NPIMap

Individual provider Active NPI

Michael Carpino, PA-C

  • Physician Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1295708006
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1880 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5545
Phone
(772) 446-4554
Fax
(772) 204-2456
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1880 SE Port St Lucie Blvd
Port Saint Lucie, FL 34952-5545

Mailing address

PO Box 746
Stuart, FL 34995-0746
Phone (772) 288-6300

Other identifiers 2

IdentifierTypeStateIssuer
PA9104947OtherFLLICENSE
TN681OtherTNSTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000554 FL Practitioner - Physician Assistant 7618048869 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin County Pain Clinic PLGroup PAC ID 4981624277, 2 clinicians

Practice addresses (Care Compare)

725 SE Osceola St
Suite 2
Stuart, FL 34994-2318
Phone (772) 286-0078

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Martin County Pain Clinic PL CurrentSince Jul 13, 2025 Accepting new patients
Back in Action Medical Center LLC CurrentSince Jan 13, 2020 Accepting new patients
Martin Memorial Medical Center Inc Past Accepting new patients
Health Ventures, Inc Past Accepting new patients
PCC Medical Holdings LLC Past Accepting new patients
Martin Memorial Physician Corporation Inc PastSince Apr 1, 2004 Accepting new patients
Richard a Dube Past Accepting new patients
East Tennessee Women's Care, PC Past Accepting new patients

Locations

2351 SW Martin Hwy
Palm City, FL 34990
Phone (772) 324-8337

725 SE Osceola St
Ste 2
Stuart, FL 34994
Phone (772) 286-0078

509 SE Riverside Dr
Ste 305
Stuart, FL 34994
Phone (772) 286-5007

Interoperability endpoints

  • Direct secure messaging: mcarpino-doctorsclinic@direct.meditouchehr.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1295708006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950746",
            "telephone_number": "772-288-6300",
            "fax_number": "772-288-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 SE PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525545",
            "telephone_number": "772-446-4554",
            "fax_number": "772-204-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPINO",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9104947",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "TN681",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.