Michelle Vallejo, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11034570 Issued in FL

Practice address

14651 Palm Beach Blvd, Ste. 100
Fort Myers, FL 33905

Phone

(238) 369-2903

Fax

(239) 369-0500

NPI assigned

Oct 3, 2013

Reactivated

Aug 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.vallejo.1@3366.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3366/brand/1/csg/1/fhir/r4

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.

• Wallace Family Practice PA

  • Clinic/Center
  • Lehigh Acres, FL
  • NPI 1063548410
  Medicare reassignment NPD

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1356778427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 PALM BEACH BLVD, STE. 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33905",
            "telephone_number": "238-369-2903",
            "fax_number": "239-369-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 PALM BEACH BLVD, STE. 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33905",
            "telephone_number": "238-369-2903",
            "fax_number": "239-369-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "deactivation_date": "2024-08-12",
        "reactivation_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9335152",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Valero, M.D.
• Irene B Vales
• Shirisha Rao Vallarapu, PAC
• Edison Patricio Valle-Giler, M.D.
• Diana Valle
• Natalia Vallejos, PSY.D.
• Karina Valles
• Vallo Ft Myers PLLC the Dental Boutique Fort Myers
• Sherry Valverde, APRN
• Bert F Van Beever, MD

• Family Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.