Individual provider Active NPI

Michelle Lynne Ith, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1689002529
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9283180 Issued in FL
Practice address
500 University Blvd
Suite 201
Jupiter, FL 33458-2773
Phone
(561) 799-3770
Fax
(561) 799-3776
NPI assigned
Oct 30, 2013
Last updated
Oct 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9283180 FL Primary

Addresses

Primary practice location

500 University Blvd
Suite 201
Jupiter, FL 33458-2773

Mailing address

221 Preserve CT
Royal Palm Beach, FL 33411-1575
Phone (904) 537-5732

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
I20131220001449 FL Practitioner - Nurse Practitioner 1254568116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

1157 S State Rd
Suite 7
Wellington, FL 33414-6101
Phone (561) 214-6699

3661 S Miami Ave
Miami, FL 33133-4214
Phone (305) 856-7333

4675 Linton Blvd
Delray Beach, FL 33445-6615

6135 Lake Worth Rd
Suite 100
Greenacres, FL 33463-3074
Phone (561) 434-0060

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC CurrentSince Sep 1, 2018 Accepting new patients
Gastro Health LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

6135 Lake Worth Rd
Ste 100
Greenacres, FL 33463

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

1157 S State Road 7
Wellington, FL 33414
Phone (561) 214-6094

Interoperability endpoints

  • Direct secure messaging: michelle.ith@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1689002529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PRESERVE CT",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111575",
            "telephone_number": "904-537-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY BLVD",
            "address_2": "SUITE 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582773",
            "telephone_number": "561-799-3770",
            "fax_number": "561-799-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITH",
        "first_name": "MICHELLE",
        "middle_name": "LYNNE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9283180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.