Individual provider Active NPI

Michael J Roggelin, APRN

  • Adult Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1528520756
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11012597 Issued in FL
Practice address
1231 N Tuttle Ave
Sarasota, FL 34237-3116
Phone
(941) 366-0134
Fax
(866) 622-3009
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11012597 FL Primary

Addresses

Primary practice location

1231 N Tuttle Ave
Sarasota, FL 34237-3116

Mailing address

PO Box 1000 Dept 394
Memphis, TN 38148-0001
Phone (941) 300-4440

Other practice location 1

408 7th St W
Palmetto, FL 34221-5209
Phone (941) 803-7939

Other practice location 2

1825 Hurlburt Rd Ste 14
Fort Walton Beach, FL 32547-3737
Phone (850) 610-8820

Other practice location 3

8390 N Palafox St
Pensacola, FL 32534-3735
Phone (850) 988-5245

Other practice location 4

1224 Del Prado Blvd S Ste A
Cape Coral, FL 33990-3670
Phone (239) 945-9401

Other practice location 5

14243 Tamiami Trl
North Port, FL 34287-2215
Phone (941) 888-2144

Other practice location 6

1435 Dunn Ave Ste 101
Daytona Beach, FL 32114-1434
Phone (386) 274-7651

Other identifiers 1

IdentifierTypeStateIssuer
115704700MedicaidFL

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104001041 FL Practitioner - Nurse Practitioner 2567793821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

1231 N Tuttle Ave
Sarasota, FL 34237-3116
Phone (941) 366-0134

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health, Inc. CurrentSince Aug 19, 2022 Accepting new patients
Can Community Health Inc. CurrentSince Aug 19, 2022 Accepting new patients

Locations

1224 Del Prado Blvd S
Ste A
Cape Coral, FL 33990
Phone (239) 745-5050

1435 Dunn Ave
Ste 101
Daytona Beach, FL 32114
Phone (386) 274-7651

1125 N Nova Rd
Daytona Beach, FL 32117
Phone (386) 274-7651

1825 Hurlburt Rd
Ste 14
Fort Walton Beach, FL 32547
Phone (850) 610-8820

4758 Rowan Rd
New Port Richey, FL 34653
Phone (727) 312-2040

14243 Tamiami Trl
North Port, FL 34287
Phone (941) 429-3180

408 7th St W
Palmetto, FL 34221
Phone (941) 721-3900

8390 N Palafox St
Pensacola, FL 32534
Phone (850) 823-5846

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

4440 Fruitville Rd
Sarasota, FL 34232
Phone (941) 366-0134

2105 N Nebraska Ave
Tampa, FL 33602
Phone (813) 232-3808

Interoperability endpoints

  • Direct secure messaging: michael.roggelin@can.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1528520756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 394",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "941-300-4440",
            "fax_number": "941-404-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 N TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342373116",
            "telephone_number": "941-366-0134",
            "fax_number": "866-622-3009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 7th St W",
            "address_purpose": "LOCATION",
            "city": "Palmetto",
            "state": "FL",
            "postal_code": "342215209",
            "country_code": "US",
            "telephone_number": "941-803-7939",
            "fax_number": "877-651-1335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 Hurlburt Rd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325473737",
            "country_code": "US",
            "telephone_number": "850-610-8820",
            "fax_number": "844-297-8690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8390 N Palafox St",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325343735",
            "country_code": "US",
            "telephone_number": "850-988-5245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1224 Del Prado Blvd S Ste A",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903670",
            "country_code": "US",
            "telephone_number": "239-945-9401",
            "fax_number": "877-370-2835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14243 Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342872215",
            "country_code": "US",
            "telephone_number": "941-888-2144",
            "fax_number": "888-213-0604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 Dunn Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321141434",
            "country_code": "US",
            "telephone_number": "386-274-7651",
            "fax_number": "877-242-5455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGGELIN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11012597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115704700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.