Individual provider Active NPI

Abdel Michel, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1467003723
Registry record updated Nov 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405092 Issued in NY
Practice address
20901 Jamaica Ave
Jamaica, NY 11428-1548
Phone
(718) 559-0516
NPI assigned
Sep 26, 2019
Last updated
Nov 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405092 NY Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 634866 NY

Addresses

Primary practice location

20901 Jamaica Ave
Jamaica, NY 11428-1548

Mailing address

21631 113TH Ave
Queens Village, NY 11429-2642
Phone (917) 379-6548

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
I20231113000953 NY Practitioner - Nurse Practitioner 9032566062 Reassigns benefits to 4 organizations

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
Modern Psychiatric Nurse Practitioner PCGroup PAC ID 0840570297, 18 clinicians

Practice addresses (Care Compare)

1740 84TH St
Brooklyn, NY 11214-2825
Phone (718) 855-8584

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
634866NYMDPsychiatric/Mental Health Registered Nurse
F405092NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A Michel NP in Psychiatry PC Psychiatric/Mental Health CurrentSince Jul 30, 2025 Accepting new patients
Infinite Medical PC CurrentSince Dec 3, 2023 Accepting new patients
Welllife Network Inc CurrentSince Oct 25, 2023 Accepting new patients
Modern Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Welllife Network Inc., CurrentSince Oct 25, 2023 Accepting new patients

Locations

1740 84th St
Brooklyn, NY 11214
Phone (718) 232-3666

250 Skillman St
Ste 202
Brooklyn, NY 11205

315 Beach 9th St
Far Rockaway, NY 11691
Phone (516) 833-7469

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

14202 20th Ave
Fl 3
Flushing, NY 11351
Phone (718) 559-0516

800 Northern Blvd
Great Neck, NY 11021
Phone (516) 829-8450

481 Main St
Ste 405
New Rochelle, NY 10801
Phone (917) 379-6548

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699747200000",
    "number": "1467003723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21631 113TH AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292642",
            "telephone_number": "917-379-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20901 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114281548",
            "telephone_number": "718-559-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "ABDEL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405092",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "634866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.