Active NPI
Michelle Lavette Bautista, ARNP
- Family Nurse Practitioner
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 2209302
- Practice address
- 508 Airport Rd Ste G
Panama City, FL 32405-4025 - Phone
- (850) 215-4455
- Fax
- (850) 215-4492
- NPI assigned
- Jul 10, 2006
- Last updated
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP137457 | TX | |
| Family Nurse Practitioner | 363LF0000X | ARNP 2209302 | FL | Primary |
Addresses
Primary practice location
508 Airport Rd Ste G
Panama City, FL 32405-4025
Mailing address
PO Box 639
Panama City, FL 32402-0639
Phone (850) 215-4455
Other practice location 1
5119 Fairmont Pkwy Ste D
Pasadena, TX 77505-3758
Phone (346) 357-3050
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
508 Airport Rd
Suite G
Panama City, FL 32405-4025
Phone (850) 215-4455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2209302 | FL | MD | Family Nurse Practitioner |
| AP137457 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Hines Bautista Arnp Inc | Current | Accepting new patients | |
| Trucause Medical PLLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
1798 Georgia St
Alford, FL 32420
Phone (850) 526-6727
1532 Jenks Ave
Panama City, FL 32405
2507 Harrison Ave
Unit 201
Panama City, FL 32405
Phone (850) 215-4455
508 Airport Rd
Ste G
Panama City, FL 32405
Phone (850) 215-4455
752 Harrison Ave
Panama City, FL 32401
Phone (850) 215-4455
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Hormone and Wellness Center
- Primary Care Clinic/Center
- Panama City, FL
- NPI 1881839124
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1891486213
-
- Health Service Clinic/Center
- Panama City, FL
- NPI 1326434275
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1326072398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324020639",
"telephone_number": "850-215-4455",
"fax_number": "850-215-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 AIRPORT RD STE G",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054025",
"telephone_number": "850-215-4455",
"fax_number": "850-215-4492"
}
],
"practiceLocations": [
{
"address_1": "5119 Fairmont Pkwy Ste D",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "TX",
"postal_code": "775053758",
"country_code": "US",
"telephone_number": "346-357-3050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUTISTA",
"first_name": "MICHELLE",
"middle_name": "LAVETTE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137457",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 2209302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
- Danielle Battistini
- Bauman Chiropractic Clinic of North West Florida, P.a.
- Bauman Chiropractic Clinic of Northwest Florida, P.a.
- Marianne Taylor Bauman, D.C.
- Walter Reid Bauman, D.C.
- Doreen Baxley, PT
- Skylar Baxley, RBT
- Bay Arthritis Institute
- Bay Center Rehabilitation, LLC (Sweet Bay Health and Rehabilitation Center)
- Bay Clinic of Chiropractic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.