Individual provider Active NPI

Jenny E Michael, M.D.

  • Obstetrics & Gynecology Physician
  • St Petersburg, FL
National Provider Identifier
1508155904
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME119384 Issued in FL
Practice address
6450 38TH Ave N
Siute 200
St Petersburg, FL 33710-1645
Phone
(727) 767-6060
Fax
(727) 767-1285
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRN57345 FL
Obstetrics & Gynecology Physician 207V00000X ME119384 FL Primary

Addresses

Primary practice location

6450 38TH Ave N
Siute 200
St Petersburg, FL 33710-1645

Mailing address

6450 38TH Ave N
Siute 200
St Petersburg, FL 33710-1645
Phone (727) 767-6060

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
I20150516000102 FL Practitioner - Obstetrics/Gynecology 1951621861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Neonatology, IncGroup PAC ID 0446387641, 17 clinicians

Practice addresses (Care Compare)

6450 38TH Ave N
Suite 200
St Petersburg, FL 33710-1649
Phone (727) 344-6060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME119384FLMDObstetrics & Gynecology Physician
TRN57345FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients
West Coast Neonatology, Inc. Obstetrics & Gynecology CurrentSince Feb 25, 2017 Accepting new patients
All Children'S OB/GYN Specialists Obstetrics & Gynecology CurrentSince Feb 25, 2017 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Ohi West Medical Group, LLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

700 6th St S
Fl 2
St Petersburg, FL 33701
Phone (727) 893-6198

5959 Central Ave
Ste 103
St Petersburg, FL 33710
Phone (727) 767-6060

6450 38th Ave N
Ste 200
St Petersburg, FL 33710
Phone (727) 344-6060

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jmichael733407@direct.hopkinsmedicine.org
  • Direct secure messaging: jmichael189247@orlandohealth.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1508155904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SIUTE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-767-6060",
            "fax_number": "727-767-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 38TH AVE N",
            "address_2": "SIUTE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337101645",
            "telephone_number": "727-767-6060",
            "fax_number": "727-767-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "JENNY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN57345",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME119384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.