Individual provider Active NPI

Michelle Landon Giampoala, APRN

  • Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1548061005
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11040455 Issued in FL
Practice address
2000 E Edgewood Dr Ste 112
Lakeland, FL 33803-3639
Phone
(863) 666-3436
Fax
(863) 667-3550
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11040455 FL Primary

Addresses

Primary practice location

2000 E Edgewood Dr Ste 112
Lakeland, FL 33803-3639

Mailing address

720 Lake Jessie Dr
Winter Haven, FL 33881-1150
Phone (863) 640-0189

Other practice location 1

720 Lake Jessie Dr
Winter Haven, FL 33881-1150
Phone (863) 640-0189

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
I20250701000113 FL Practitioner - Nurse Practitioner 0941713267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Regional Health Systems IncGroup PAC ID 8325952914, 513 clinicians

Practice addresses (Care Compare)

2000 E Edgewood Dr
Suite 112
Lakeland, FL 33803-3639
Phone (863) 666-3436

Hospital & facility affiliations

  • Lakeland Regional Medical Center Hospital, Lakeland, FL, CCN 100157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Regional Health Systems, Inc. CurrentSince Jul 2, 2025 Accepting new patients
Lakeland Regional Medical Center, Inc. Past Accepting new patients

Locations

1629 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 644-9500

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

2000 E Edgewood Dr
Ste 112
Lakeland, FL 33803
Phone (863) 666-3436

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mgiampoala17599@lrhs.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": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1548061005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LAKE JESSIE DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811150",
            "telephone_number": "863-640-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E EDGEWOOD DR STE 112",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033639",
            "telephone_number": "863-666-3436",
            "fax_number": "863-667-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Lake Jessie Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338811150",
            "country_code": "US",
            "telephone_number": "863-640-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIAMPOALA",
        "first_name": "MICHELLE",
        "middle_name": "LANDON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11040455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.