Individual provider Active NPI

Monica Menichello, MD

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1528255890
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME113560 Issued in FL
Practice address
15420 Collier Blvd
Naples, FL 34120
Phone
(239) 624-0600
Fax
(239) 624-0601
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 245688 NY
Family Medicine Physician 207Q00000X ME113560 FL Primary

Addresses

Primary practice location

15420 Collier Blvd
Naples, FL 34120

Mailing address

15420 Collier Blvd
Naples, FL 34120
Phone (239) 624-0600

Other identifiers 3

IdentifierTypeStateIssuer
006438600MedicaidFL
GM099YOtherFLMEDICARE
14LY3OtherFLBCBS

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
I20120920000573 FL Practitioner - Family Practice 1850471137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

11181 Health Park Blvd
Suite 2230
Naples, FL 34110-5705
Phone (239) 624-8620

311 9TH St N
Naples, FL 34102-5887

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME113560FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jan 5, 2015 Accepting new patients
Nchmd Inc CurrentSince Jan 5, 2015 Accepting new patients

Locations

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

11181 Health Park Blvd
Ste 2230
Naples, FL 34110
Phone (239) 594-2700

15420 Collier Blvd
Naples, FL 34120
Phone (239) 624-0600

Interoperability endpoints

  • Direct secure messaging: mmenichello23078@nchhealthcaresystem.direct-ci.com

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 1

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1528255890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15420 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34120",
            "telephone_number": "239-624-0600",
            "fax_number": "239-624-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34120",
            "telephone_number": "239-624-0600",
            "fax_number": "239-624-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENICHELLO",
        "first_name": "MONICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "245688",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006438600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GM099Y",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14LY3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.