Individual provider Active NPI

Michelle Gibbons, ARNP

  • Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1386633014
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP1863652 Issued in FL
Practice address
100 S Military TRL
Ste 10
Deerfield Beach, FL 33442-3015
Phone
(954) 426-9600
NPI assigned
Oct 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP1863652 FL Primary

Addresses

Primary practice location

100 S Military TRL
Ste 10
Deerfield Beach, FL 33442-3015

Mailing address

100 S Military TRL
Ste 10
Deerfield Beach, FL 33442-3015
Phone (954) 426-9600

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
I20040318000306 FL Practitioner - Nurse Practitioner 3870483365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nabil Barsoum MD PAGroup PAC ID 7113026725, 4 clinicians

Practice addresses (Care Compare)

100 S Military Trail
Suite 10
Deerfield Beach, FL 33442-3031
Phone (954) 426-9600

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nabil Barsoum MD PA CurrentSince Sep 8, 2016 Accepting new patients

Locations

100 S Military Trl
Ste 10
Deerfield Beach, FL 33442
Phone (954) 426-3361

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1129334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1386633014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL",
            "address_2": "STE 10",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423015",
            "telephone_number": "954-426-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MILITARY TRL",
            "address_2": "STE 10",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423015",
            "telephone_number": "954-426-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-15",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1863652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.