Michael Patrick Durham, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11008498 Issued in FL

Practice address

17501 Wells Rd
North Fort Myers, FL 33917-2108

Phone

(502) 287-8731

NPI assigned

Aug 5, 2020

Last updated

Aug 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Merit-based Incentive Payment System (MIPS)

Final score

38.98 of 100Reported as group

Quality

10.19

Promoting interoperability

36

Improvement activities

40

Cost

23.08

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cape Coral Integrated Medical

  • Physical Medicine & Rehabilitation Physician
  • Cape Coral, FL
  • NPI 1255932703
  Medicare reassignment NPD

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1760092605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 WELLS RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339172108",
            "telephone_number": "502-287-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17501 WELLS RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339172108",
            "telephone_number": "502-287-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11008498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Dovico, ARNP
• Gail Anne Doxie, LMHC
• Charlene Anne Drabek, RPH
• Shannon Patricia Duffy
• Codey Dunn
• Dva Renal Healthcare Inc (Fort Myers North Dialysis)
• Dynamic Instruction LLC
• Ecci, LLC (Sandy Park Community Center)
• Lindsey Edwards
• Tina K Eklund, COTA

• Primary Care Nurse Practitioner in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.