Individual provider Active NPI

Michelle Mirasgeldi, APN

  • Primary Care Nurse Practitioner
  • Denville, NJ
National Provider Identifier
1306545512
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01447600 Issued in NJ
Practice address
3175 State Route 10 BLDG C
Denville, NJ 07834-3491
Phone
(201) 317-4590
Fax
(973) 343-2134
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01447600 NJ Primary

Addresses

Primary practice location

3175 State Route 10 BLDG C
Denville, NJ 07834-3491

Mailing address

PO Box 95000, LB#7550
Philadelphia, PA 19195-7550
Phone (844) 362-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230502001242 NJ Practitioner - Nurse Practitioner 5597120246 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Partners LLCGroup PAC ID 2860665809, 74 clinicians

Practice addresses (Care Compare)

25 Lindsley Dr
Suite 105
Morristown, NJ 07960-4456
Phone (973) 889-0200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, LLC CurrentSince Nov 12, 2023 Accepting new patients
Sovereign Medical Group LLC CurrentSince Apr 1, 2023 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Apr 1, 2023 Accepting new patients
Primary Care Partners, LLC CurrentSince Oct 2, 2023 Accepting new patients
Primary Care Partners LLC Past Accepting new patients

Locations

3175 State Route 10
Ste 500
Denville, NJ 07834
Phone (201) 317-4590

3175 State Route 10
Bldg C
Denville, NJ 07834
Phone (201) 317-4590

631 Grand St
#2100
Jersey City, NJ 07304
Phone (201) 855-8302

475 South St
Morristown, NJ 07960
Phone (973) 660-3166

465 South St
Ste 200
Morristown, NJ 07960
Phone (973) 971-7130

25 Lindsley Dr
Ste 105
Morristown, NJ 07960
Phone (973) 714-0418

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

16 Old Brookside Rd
Randolph, NJ 07869
Phone (973) 895-4000

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1306545512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000, LB#7550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191957550",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 STATE ROUTE 10 BLDG C",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343491",
            "telephone_number": "201-317-4590",
            "fax_number": "973-343-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRASGELDI",
        "first_name": "MICHELLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-11-09",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01447600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.