Individual provider Active NPI

Michael Galen Minardi, FNP-BC

  • Family Nurse Practitioner
  • Crawfordville, FL
National Provider Identifier
1457033979
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027867 Issued in FL
Practice address
41 Feli Way
Crawfordville, FL 32327-2368
Phone
(850) 926-3140
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11027867 FL Primary

Addresses

Primary practice location

41 Feli Way
Crawfordville, FL 32327-2368

Mailing address

41 Feli Way
Crawfordville, FL 32327-2368
Phone (850) 926-3140

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: Yes
  • 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11027867FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wakulla Urgent Care & Diagnostic Center PLC CurrentSince Aug 6, 2023 Accepting new patients
Wakulla Urgent Care & Diagnostic Center PLC CurrentSince Aug 6, 2023 Accepting new patients

Locations

41 Feli Way
Crawfordville, FL 32327
Phone (850) 879-7831

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1457033979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FELI WAY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272368",
            "telephone_number": "850-926-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FELI WAY",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272368",
            "telephone_number": "850-926-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARDI",
        "first_name": "MICHAEL",
        "middle_name": "GALEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, FL

Sources for this page

Verify at the official NPI Registry.