Individual provider Active NPI

Michelle Marie Lugo, DNP, APRN

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1659955516
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11007869 Issued in FL
Practice address
4700 N Habana Ave Ste 702
Tampa, FL 33614-7122
Phone
(813) 872-0613
Fax
(727) 499-7839
NPI assigned
May 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 11007869 FL Primary

Addresses

Primary practice location

4700 N Habana Ave Ste 702
Tampa, FL 33614-7122

Mailing address

4700 N Habana Ave Ste 702
Tampa, FL 33614-7122
Phone (813) 872-0613

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
I20211122001087 FL Practitioner - Nurse Practitioner 9335538834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oncology Institute FL, LLCGroup PAC ID 7315999372, 22 clinicians

Practice addresses (Care Compare)

4700 N Habana Ave
Suite 702
Tampa, FL 33614-7122
Phone (813) 757-8497

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007869FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology FL, LLC CurrentSince Oct 11, 2021 Accepting new patients
Oncology Association PA CurrentSince Sep 12, 2021 Accepting new patients
Toi FL Mso, LLC PastSince Mar 20, 2025 Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

3702 Washington St
Ste 407
Hollywood, FL 33021
Phone (754) 348-0168

6499 38th Ave N
Ste G1
St Petersburg, FL 33710
Phone (727) 381-3761

4700 N Habana Ave
Ste 702
Tampa, FL 33614
Phone (813) 757-8497

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: michelle.lugo@theoncologyinstitute.ikm.direct-ci.com

Organizations & group practices 3

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1659955516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE STE 702",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147122",
            "telephone_number": "813-872-0613",
            "fax_number": "727-499-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE STE 702",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147122",
            "telephone_number": "813-872-0613",
            "fax_number": "727-499-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11007869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.