Michele Niedermeyer, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11017779 Issued in FL

Practice address

1717 N Clyde Morris Blvd Ste 130
Daytona Beach, FL 32117-5532

Phone

(386) 274-1004

NPI assigned

Feb 1, 2022

Last updated

Mar 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michele.niedermeyer.1@22792.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiac Vision LLC

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1144651373
  Medicare reassignment NPD
• Cornerstone Health Services LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Tavares, FL
  • NPI 1912327941
  Medicare reassignment NPD
• Cornerstone Health Services LLC

  dba Cornerstone Centers for Wellbeing

  • Mental Health Counselor
  • Tavares, FL
  • NPI 1174157986
  NPD

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1669125332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N CLYDE MORRIS BLVD STE 130",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175532",
            "telephone_number": "386-274-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N CLYDE MORRIS BLVD STE 130",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175532",
            "telephone_number": "386-274-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E Hwy 50",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111914",
            "country_code": "US",
            "telephone_number": "352-243-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEDERMEYER",
        "first_name": "MICHELE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huong Thien Nguyen, DMD
• Ly Nguyen, DMD
• Timothy Allen Nicastro Jr., DNP
• Elizabeth Paige Nicks, LMHC
• Kenneth Edward Nida, P.A.
• Caitlin Nies, LMT
• Hector D. Nieves-Vazquez, M.D.
• Andrew Jonathan Niewald, MD
• Neil Baker Nipper, M.D.
• No Place Like ABA

• Family Nurse Practitioner in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.