Individual provider Active NPI

Michelle Pearl Montini

  • Family Nurse Practitioner
  • Groveland, FL
National Provider Identifier
1669115960
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018741 Issued in FL
Practice address
16750 CR 33
Groveland, FL 34736
Phone
(989) 944-5850
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11018741 FL Primary

Addresses

Primary practice location

16750 CR 33
Groveland, FL 34736

Mailing address

16750 CR 33
Groveland, FL 34736
Phone (989) 944-5850

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
I20220428001973 FL Practitioner - Nurse Practitioner 0648667204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Vizavee Urgent and Primary Care, LLCGroup PAC ID 1557764784, 15 clinicians
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

4669 E Sr
44 Suite 101
Wildwood, FL 34785-7460
Phone (352) 399-7301

628 Cagan View Rd
Clermont, FL 34714-6566
Phone (352) 242-1988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018741FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vizavee Urgent & Primary Care, LLC CurrentSince Apr 1, 2022 Accepting new patients
Orlando Carenow Urgent Care LLC CurrentSince Jul 22, 2024 Accepting new patients
Heathrow Internal Medicine LLC Past Accepting new patients

Locations

628 Cagan View Rd
Clermont, FL 34714
Phone (352) 242-1988

5102 Sr 46
Sanford, FL 32771
Phone (321) 765-6152

340 Heald Way
Ste 208
The Villages, FL 32163
Phone (352) 259-5762

910 Old Camp Rd
Ste 114
The Villages, FL 32162
Phone (352) 259-4322

4669 E State Road 44
Ste 101
Wildwood, FL 34785
Phone (352) 399-7301

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: michelle.montini.1@24264.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24264/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1669115960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16750 CR 33",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "34736",
            "telephone_number": "989-944-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 CR 33",
            "city": "GROVELAND",
            "state": "FL",
            "postal_code": "34736",
            "telephone_number": "989-944-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTINI",
        "first_name": "MICHELLE",
        "middle_name": "PEARL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, FL

Sources for this page

Verify at the official NPI Registry.