Individual provider Active NPI

Michelle Wojciechowski, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Summerfield, FL
National Provider Identifier
1336649649
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9331613 Issued in FL
Practice address
15061 SE 103Rd Ave
Summerfield, FL 34491
Phone
(607) 427-3211
NPI assigned
Feb 14, 2018
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9331613 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 149817 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9331613 FL Primary

Addresses

Primary practice location

15061 SE 103Rd Ave
Summerfield, FL 34491

Mailing address

1000 TN 73
Newport, TN 34221-4737
Phone (607) 427-3211

Other practice location 1

725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TN2 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
I20180815000162 CT Practitioner - Nurse Practitioner 8628327210 Reassigns benefits to 2 organizations
I20230711000860 TN Practitioner - Nurse Practitioner 8628327210 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9331613FLMDFamily Nurse Practitioner
149817CTMDPsychiatric/Mental Health Nurse Practitioner
APRN9331613FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Mental Health Specialists Inc Psychiatric/Mental Health CurrentSince Jun 23, 2018 Accepting new patients
Dowell Springs Behavioral Health, LLC CurrentSince Dec 3, 2023 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Aug 15, 2018 Accepting new patients
Healthcare Exchange of Pasco County Current Accepting new patients
Acute Behavioral Health of Tennessee PC Psychiatric/Mental Health PastSince May 17, 2023 Accepting new patients

Locations

270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

6100 Tower Cir
Ste 1000
Franklin, TN 37067
Phone (615) 454-7459

1444 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 500-6665

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, 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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1336649649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TN 73",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "342214737",
            "telephone_number": "607-427-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15061 SE 103RD AVE",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "34491",
            "telephone_number": "607-427-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJCIECHOWSKI",
        "first_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2024-03-11",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9331613",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "149817",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9331613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

Verify at the official NPI Registry.