Individual provider Active NPI

Michelle Kavall, APRN FNP-C

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1396500807
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11029728 Issued in FL
Practice address
5295 Town Center Rd Ste 402
Boca Raton, FL 33486-1080
Phone
(561) 717-3181
NPI assigned
Feb 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 APRN11029728 FL Primary

Addresses

Primary practice location

5295 Town Center Rd Ste 402
Boca Raton, FL 33486-1080

Mailing address

842 Broken Sound Pkwy NW Apt 109
Boca Raton, FL 33487-3715
Phone (347) 419-0500

Other practice location 1

842 Broken Sound Pkwy NW Apt 109
Boca Raton, FL 33487-3715
Phone (347) 419-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Family Physicians of Boca Raton, P.L. CurrentSince Jan 15, 2025 Accepting new patients
Quality Health Care Concierge Inc Current Accepting new patients

Locations

9910 Sandalfoot Blvd
Ste 1
Boca Raton, FL 33428
Phone (561) 883-3030

Organizations & group practices 2

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": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1396500807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 BROKEN SOUND PKWY NW APT 109",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873715",
            "telephone_number": "347-419-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5295 TOWN CENTER RD STE 402",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861080",
            "telephone_number": "561-717-3181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 Broken Sound Pkwy NW Apt 109",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334873715",
            "country_code": "US",
            "telephone_number": "347-419-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAVALL",
        "first_name": "MICHELLE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11029728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.