Active NPI
Marc Andrew Michelsen, DO
- Anesthesiology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- OS10131
- Practice address
- 1250 E Marshall St
Richmond, VA 23298-5051 - Phone
- (804) 828-9783
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0102201626 | VA | |
| Anesthesiology Physician | 207L00000X | OS10131 | FL | Primary |
Addresses
Primary practice location
1250 E Marshall St
Richmond, VA 23298-5051
Mailing address
PO Box 980257
Richmond, VA 23298-0257
Phone (804) 828-9783
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2795671 00 | Medicaid | FL | |
| 17310 | Other | FL | BCBSFL |
| 7328195 | Other | FL | CIGNA |
| 7983907 | Other | FL | AETNA |
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
- Anesthesiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS10131 | FL | MD | Anesthesiology Physician |
| 0102201626 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Anesthesiology | Current | Accepting new patients |
| Piedmont Healthcare, P.a. | Past | Accepting new patients | |
| Jennifer Sassi PA | Past | Accepting new patients |
Locations
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1619305067
-
- Internal Medicine Physician
- Statesville, NC
- NPI 1912999897
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1487862173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980257",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232980257",
"telephone_number": "804-828-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E MARSHALL ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985051",
"telephone_number": "804-828-9783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHELSEN",
"first_name": "MARC",
"middle_name": "ANDREW",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0102201626",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "OS10131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2795671 00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "17310",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7328195",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7983907",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.