Individual provider Active NPI

Micalove Raphael, NP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1386415867
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029405 Issued in FL
Practice address
2301 N 29TH St Ste 500
Philadelphia, PA 19132-3454
Phone
(215) 444-7510
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 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 APRN11029405 FL Primary
Family Nurse Practitioner 363LF0000X SP028941 PA

Addresses

Primary practice location

2301 N 29TH St Ste 500
Philadelphia, PA 19132-3454

Mailing address

PO Box 746722
Atlanta, GA 30374-6722

Other practice location 1

971 Village Blvd
West Palm Beach, FL 33409-1944
Phone (561) 688-5030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address micalove.raphael@mcmgfl.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 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
I20240410000201 PA Practitioner - Nurse Practitioner 4082052048 Reassigns benefits to 2 organizations
I20241120003230 FL Practitioner - Nurse Practitioner 4082052048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hernando Pasco Primary Care LLCGroup PAC ID 0547231474, 88 clinicians

Practice addresses (Care Compare)

971 Village Blvd
West Palm Beach, FL 33409-1944
Phone (561) 688-5030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029405FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC CurrentSince Nov 1, 2024 Accepting new patients
Excel Medical Center CurrentSince Mar 25, 2024 Accepting new patients
Osh - PA Physicians Group, PC Family CurrentSince Jul 2, 2023 Accepting new patients
Independant Ipa,LLC PastSince Nov 1, 2024 Accepting new patients
Mycare Medical of Texas, PLLC PastSince Mar 12, 2024 Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

3465 Galt Ocean Dr
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-7775

1785 Northpointe Pkwy
Ste 300
Lutz, FL 33558
Phone (813) 536-7277

971 Village Blvd
West Palm Beach, FL 33409
Phone (561) 688-5030

7515 Stenton Ave
Philadelphia, PA 19150
Phone (215) 842-5246

2301 N 29th St
Ste 500
Philadelphia, PA 19132
Phone (215) 444-7510

2124 W Diamond St
Philadelphia, PA 19121
Phone (215) 684-0801

208 W Chelten Ave
Philadelphia, PA 19144
Phone (215) 849-3104

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD
  • FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1386415867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N 29TH ST STE 500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191323454",
            "telephone_number": "215-444-7510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 Village Blvd",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334091944",
            "country_code": "US",
            "telephone_number": "561-688-5030",
            "fax_number": "561-688-9565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "MICALOVE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP028941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "micalove.raphael@mcmgfl.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "971 Village Blvd",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334091944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.