Individual provider Active NPI

Regine Anne Michel, N.P.

  • Adult Health Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1417339441
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306869-1 Issued in NY
Practice address
3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005
Phone
(855) 201-4988
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306869-1 NY Primary

Addresses

Primary practice location

3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005

Mailing address

8 Irving St
Suite 901
Valley Stream, NY 11580-2234
Phone (917) 515-9068

Other practice location 1

6010 Bay Pkwy
Suite 901
Brooklyn, NY 11204-6079
Phone (718) 238-2100 ext. 225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171101000099 NY Practitioner - Nurse Practitioner 1759662307 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306869-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Medical Services LLC CurrentSince Mar 20, 2025 Accepting new patients
Matrix Medical of New York PC CurrentSince Sep 3, 2017 Accepting new patients
Expert Mobile Health PastSince Mar 19, 2023 Accepting new patients

Locations

35 N Tyson Ave
Ste 100
Floral Park, NY 11001
Phone (718) 276-7935

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Interoperability endpoints

  • Direct secure messaging: regine.michel.1@30409.direct.athenahealth.com
  • Direct secure messaging: rmichel@landmarkhealth-direct.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1417339441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 IRVING ST",
            "address_2": "SUITE 901",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802234",
            "telephone_number": "917-515-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MARCUS AVE STE 2W15",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421005",
            "telephone_number": "855-201-4988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 Bay Pkwy",
            "address_2": "Suite 901",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112046079",
            "country_code": "US",
            "telephone_number": "718-238-2100 x225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "REGINE",
        "middle_name": "ANNE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306869-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.