Active NPI
Michelle Henne, M.D.
- Sports Medicine (Family Medicine) Physician
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- ME121120
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
475 E Central Ave
Winter Haven, FL 33880-3051
Phone (863) 401-4401
Hospital & facility affiliations
- Winter Haven Hospital
- Adventhealth Lake Wales
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Henne, M.D., P.a. | Sports Medicine | Current | Accepting new patients |
| Michelle Henne, M.D., P.a. | Sports Medicine | Current | 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.
-
- Sports Medicine (Family Medicine) Physician
- Lakeland, FL
- NPI 1962938894
FL, Sports Medicine
-
- Sports Medicine (Family Medicine) Physician
- Lakeland, FL
- NPI 1225564073
Sports Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.