Individual provider Active NPI

Michael Thielen, PA

  • Physician Assistant
  • Weston, FL
National Provider Identifier
1659985679
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113500 Issued in FL
Practice address
1600 Town Center Blvd Ste C
Weston, FL 33326-3641
Phone
(954) 389-5900
Fax
(954) 389-5751
NPI assigned
Sep 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113500 FL Primary

Addresses

Primary practice location

1600 Town Center Blvd Ste C
Weston, FL 33326-3641

Mailing address

1608 Town Center Blvd Ste a
Weston, FL 33326-3639
Phone (954) 349-2345

Other practice location 1

9960 Central Park Blvd N Ste 150
Boca Raton, FL 33428-1760
Phone (561) 922-9112

Other practice location 2

17842 NW 2nd St
Pembroke Pines, FL 33029-2806
Phone (954) 430-9901

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
I20200914001166 FL Practitioner - Physician Assistant 1951729508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenet Florida Physician Services II, LLCGroup PAC ID 1456507698, 99 clinicians
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

1000 NE 56TH St
Fort Lauderdale, FL 33334-4149
Phone (954) 229-8608

1817 E Commercial Blvd
Ft Lauderdale, FL 33308-3767
Phone (954) 836-8980

21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (561) 488-8000

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300

9960 Central Park Blvd N
Boca Raton, FL 33428-1760
Phone (561) 922-9112

Hospital & facility affiliations

  • Working Nurses Homecare Palm Beach, LLC Home health agency, Boca Raton, FL, CCN 687359
  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9113500FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Ankle & Leg Specialists of South Florida Inc CurrentSince Apr 15, 2021 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Aug 4, 2023 Accepting new patients
Holy Cross Hospital, Inc CurrentSince Oct 6, 2021 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Aug 4, 2023 Accepting new patients
Holy Cross Hospital Inc CurrentSince Oct 6, 2021 Accepting new patients
Tenet Florida Physician Services II, LLC Physician Assistant Past Accepting new patients

Locations

9960 Central Park Blvd N
Ste 150A
Boca Raton, FL 33428
Phone (561) 394-8443

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

17842 NW 2nd St
Pembroke Pines, FL 33029
Phone (954) 367-4000

220 SW 84th Ave
Ste 102
Plantation, FL 33324
Phone (954) 720-1530

1600 Town Center Blvd
Ste C
Weston, FL 33326
Phone (954) 389-5751

Interoperability endpoints

  • Direct secure messaging: michael.thielen.1@13023.direct.athenahealth.com
  • Direct secure messaging: mthielen2020019@direct.trinity-health.org

Organizations & group practices 6

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 8

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": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1659985679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 TOWN CENTER BLVD STE A",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263639",
            "telephone_number": "954-349-2345",
            "fax_number": "954-641-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 TOWN CENTER BLVD STE C",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263641",
            "telephone_number": "954-389-5900",
            "fax_number": "954-389-5751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9960 Central Park Blvd N Ste 150",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281760",
            "country_code": "US",
            "telephone_number": "561-922-9112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17842 NW 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292806",
            "country_code": "US",
            "telephone_number": "954-430-9901",
            "fax_number": "954-430-0608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-08",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.