Individual provider Active NPI

Michelle K McCarty

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1760078935
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11008703 Issued in FL
Practice address
1075 Oakleaf Plantation Pkwy Ste 108
Orange Park, FL 32065-3626
Phone
(904) 282-4565
NPI assigned
Dec 11, 2020
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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 11008703 FL Primary

Addresses

Primary practice location

1075 Oakleaf Plantation Pkwy Ste 108
Orange Park, FL 32065-3626

Mailing address

1075 Oakleaf Plantation Pkwy Ste 108
Orange Park, FL 32065-3626
Phone (904) 282-4565

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
I20210125002837 FL Practitioner - Nurse Practitioner 1153735691 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians
Chma of FL, PLLCGroup PAC ID 8123420643, 25 clinicians

Practice addresses (Care Compare)

Fort Myers, FL 33905
Phone (888) 402-0202

2777 NE 183Rd St
Aventura, FL 33160-2165
Phone (443) 383-9300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008703FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Jul 5, 2025 Accepting new patients
St. Augustine Foot & Ankle, Inc CurrentSince Dec 1, 2022 Accepting new patients
St. Augustine Foot & Ankle, Inc CurrentSince Dec 1, 2022 Accepting new patients
Chma of FL, PLLC CurrentSince Mar 20, 2024 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

2875 NE 191st St
Ste 500
Aventura, FL 33180
Phone (305) 725-2548

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849

1 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 797-1958

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1760078935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 OAKLEAF PLANTATION PKWY STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653626",
            "telephone_number": "904-282-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 OAKLEAF PLANTATION PKWY STE 108",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653626",
            "telephone_number": "904-282-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.