Individual provider Active NPI

Michelle Trevino, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lehigh Acres, FL
National Provider Identifier
1306507058
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11017274 Issued in FL
Practice address
228 Plaza Dr Ste D
Lehigh Acres, FL 33936-6054
Phone
(239) 236-8784
Fax
(651) 666-1619
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11017274 FL Primary

Addresses

Primary practice location

228 Plaza Dr Ste D
Lehigh Acres, FL 33936-6054

Mailing address

12509 Stone Tower Loop
Fort Myers, FL 33913-6781
Phone (651) 336-6468

Other practice location 1

2332 Galiano St Fl 2
Coral Gables, FL 33134-5402
Phone (651) 299-6187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220627003730 FL Practitioner - Nurse Practitioner 2961881560 Reassigns benefits to 3 organizations
I20240523000548 MN Practitioner - Nurse Practitioner 2961881560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

228 Plaza Dr
Suite D
Lehigh Acres, FL 33936-6054
Phone (239) 223-2751

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11017274FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Hni Medical Services of Florida, LLC Psychiatric/Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 20, 2024 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

228 Plaza Dr
Ste D
Lehigh Acres, FL 33936
Phone (239) 491-8204

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

Interoperability endpoints

  • Direct secure messaging: michelle.trevino.1@13142.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1306507058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 STONE TOWER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136781",
            "telephone_number": "651-336-6468",
            "fax_number": "651-666-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 PLAZA DR STE D",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366054",
            "telephone_number": "239-236-8784",
            "fax_number": "651-666-1619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2332 Galiano St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331345402",
            "country_code": "US",
            "telephone_number": "651-299-6187",
            "fax_number": "651-666-1619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "MICHELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11017274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

Verify at the official NPI Registry.