Individual provider Active NPI

Michelle Ann Powell, PMHNP-BC; FNP-BC

  • Psychiatry Physician
  • Deland, FL
National Provider Identifier
1376832816
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
APRN9232867 Issued in FL
Practice address
1702 N Woodland Blvd # 116-441
Deland, FL 32720-1837
Phone
(386) 295-7995
Fax
(855) 615-3240
NPI assigned
Apr 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 ARNP9232867 FL
Psychiatry Physician 2084P0800X APRN9232867 FL Primary

Addresses

Primary practice location

1702 N Woodland Blvd # 116-441
Deland, FL 32720-1837

Mailing address

1702 N Woodland Blvd # 116-441
Deland, FL 32720-1837
Phone (386) 747-9129

Other identifiers 1

IdentifierTypeStateIssuer
003750400MedicaidFL

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
I20110818000449 FL Practitioner - Nurse Practitioner 1658540141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians

Practice addresses (Care Compare)

1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

Hospital & facility affiliations

  • Lucent Health, LLC Home health agency, Daytona Beach, FL, CCN 687112
  • Trilogy Home Healthcare Home health agency, Jacksonville, FL, CCN 107689
  • Bravery Home Healthcare Home health agency, St Augustine, FL, CCN 687344

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince May 20, 2025 Accepting new patients
Excellence Health, LLC CurrentSince Apr 29, 2019 Accepting new patients
Florida PHS LLC Past Accepting new patients

Locations

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

317 S Dixie Fwy
New Smyrna Beach, FL 32168
Phone (386) 258-5227

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1376832816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N WOODLAND BLVD # 116-441",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327201837",
            "telephone_number": "386-747-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N WOODLAND BLVD # 116-441",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327201837",
            "telephone_number": "386-295-7995",
            "fax_number": "855-615-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC; FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9232867",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "APRN9232867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003750400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.