Individual provider Active NPI

Michelle Song Henry, DNP-FNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1376285411
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11024024 Issued in FL
Practice address
2300 S Pine Ave
Ocala, FL 34471-5150
Phone
(352) 861-4600
NPI assigned
Apr 9, 2022
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R199523 MD
Family Nurse Practitioner 363LF0000X APRN11024024 FL Primary

Addresses

Primary practice location

2300 S Pine Ave
Ocala, FL 34471-5150

Mailing address

2300 S Pine Ave
Ocala, FL 34471-5150
Phone (352) 861-4600

Other practice location 1

10180 SE 69th Ave
Belleview, FL 34420-9341
Phone (202) 960-9072

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
I20230215001916 FL Practitioner - Nurse Practitioner 3375915697 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11024024FLMDFamily Nurse Practitioner
R199523MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain Clinic, Inc CurrentSince May 21, 2023 Accepting new patients

Locations

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

2300 S Pine Ave
Ocala, FL 34471
Phone (352) 861-4600

Organizations & group practices 1

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": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1376285411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S PINE AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715150",
            "telephone_number": "352-861-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S PINE AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715150",
            "telephone_number": "352-861-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10180 SE 69th Ave",
            "address_purpose": "LOCATION",
            "city": "Belleview",
            "state": "FL",
            "postal_code": "344209341",
            "country_code": "US",
            "telephone_number": "202-960-9072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MICHELLE",
        "middle_name": "SONG",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199523",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.