Michelle Koval

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15538200 Issued in NJ

Practice address

1967 S Ocean Blvd Apt 318
Pompano Beach, FL 33062-8040

Phone

(646) 460-2339

NPI assigned

Dec 30, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Mind Your MindGroup PAC ID 6002242690, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mind Your Mind

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hamilton, NJ
  • NPI 1053955096
  Medicare reassignment Care Compare group
• Elite 23 Holding Group LLC

  • Multi-Specialty Clinic/Center
  • Sunny Isles Beach, FL
  • NPI 1598592537
  Medicare reassignment
• Realization Center

  • Case Management Agency
  • Brooklyn, NY
  • NPI 1508279902
  NPD (past)
• Realization Center, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1699827345
  NPD (past)

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1629934070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1967 S OCEAN BLVD APT 318",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330628040",
            "telephone_number": "646-460-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 S OCEAN BLVD APT 318",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330628040",
            "telephone_number": "646-460-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15538200",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11045082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Kokindo
• Patricia Konicki
• Kosmo Beauty Inc
• Elham Kousheshian, PHARM D
• Samantha Kovacsik, OTA
• Alexander P. Kowalczyk, MD
• Mark Andrew Kozitka
• Summer M Kozon
• Sheri Elyse Kramer, MASTERS EDUCATION
• Ruth Kreis-Orkoulas, ARNP

• Psychiatric/Mental Health Nurse Practitioner in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.

Verify at the official NPI Registry.