Individual provider Active NPI

Michelle Delorce Hampton, A.R.N.P.

  • Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1336540400
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3182912 Issued in FL
Practice address
14071 Metropolis Ave
Fort Myers, FL 33912-4330
Phone
(239) 694-7546
Fax
(239) 694-1571
NPI assigned
Sep 9, 2014
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3182912 FL Primary

Addresses

Primary practice location

14071 Metropolis Ave
Fort Myers, FL 33912-4330

Mailing address

PO Box 530021
Atlanta, GA 30353-0021
Phone (239) 694-7546

Other names 1

  • Miss Michelle Delorce Hampton Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007002884 FL Practitioner - Nurse Practitioner 0840410262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

950 N Collier Blvd
Suite 303
Marco Island, FL 34145-2716
Phone (239) 642-3337

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Medicine & Surgery LLC CurrentSince Jun 28, 2021 Accepting new patients
Aqua Dermatology of Florida, PA CurrentSince Dec 20, 2021 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Dec 20, 2021 Accepting new patients

Locations

25987 S Tamiami Trl
Ste 90
Bonita Springs, FL 34134
Phone (239) 444-3201

10201 Arcos Ave
Ste 203
Estero, FL 33928
Phone (239) 390-3376

19527 Highland Oaks Dr
Ste 201
Estero, FL 33928
Phone (239) 237-0770

3268 Forum Blvd
Ste 201
Fort Myers, FL 33905
Phone (239) 232-1176

950 N Collier Blvd
Ste 303
Marco Island, FL 34145
Phone (239) 642-3337

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

1108 Goodlette Rd
Naples, FL 34102
Phone (239) 262-1080

261 9th St S
Naples, FL 34102
Phone (239) 216-4337

9125 Corsea del Fontana Way
Ste 100
Naples, FL 34109
Phone (239) 598-4004

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mhampton@aquadermatology.emadirect.md
  • Direct secure messaging: mhampton@riverchasedermatology.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1336540400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530021",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530021",
            "telephone_number": "239-694-7546",
            "fax_number": "239-694-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14071 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124330",
            "telephone_number": "239-694-7546",
            "fax_number": "239-694-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMPTON",
        "first_name": "MICHELLE",
        "middle_name": "DELORCE",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3182912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HAMPTON",
            "middle_name": "DELORCE",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.