Individual provider Active NPI

Michelle Henne, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Winter Haven, FL
National Provider Identifier
1487091393
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
ME121120 Issued in FL
Practice address
475 E Central Ave
Winter Haven, FL 33880-3051
Phone
(863) 401-4401
Fax
(866) 824-2717
NPI assigned
May 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X ME121120 FL Primary

Addresses

Primary practice location

475 E Central Ave
Winter Haven, FL 33880-3051

Mailing address

475 E Central Ave
Winter Haven, FL 33880-3051
Phone (863) 401-4401

Other practice location 1

5421 S Florida Ave
Lakeland, FL 33813-2523
Phone (863) 401-4401

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818002384 FL Practitioner - Sports Medicine 5092010892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of South Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle Henne MD PAGroup PAC ID 3072885433, 2 clinicians

Practice addresses (Care Compare)

475 E Central Ave
Winter Haven, FL 33880-3051
Phone (863) 401-4401

Hospital & facility affiliations

  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Henne, M.D., P.a. Sports Medicine CurrentSince May 1, 2017 Accepting new patients
Michelle Henne, M.D., P.a. Sports Medicine CurrentSince May 1, 2017 Accepting new patients

Locations

5421 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-9500

475 E Central Ave
Winter Haven, FL 33880
Phone (863) 293-2147

5535 Cypress Gardens Blvd
Ste 270
Winter Haven, FL 33884
Phone (863) 401-4401

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.

Hospital & facility affiliations 2

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1487091393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803051",
            "telephone_number": "863-401-4401",
            "fax_number": "866-824-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803051",
            "telephone_number": "863-401-4401",
            "fax_number": "866-824-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5421 S Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132523",
            "country_code": "US",
            "telephone_number": "863-401-4401",
            "fax_number": "866-824-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNE",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME121120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.