Individual provider Active NPI

Michelle Dellene Vlassis, PA-C

  • Surgical Physician Assistant
  • Orlando, FL
National Provider Identifier
1760839856
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9109777 Issued in FL
Practice address
76 Underwood St Ste 300
Orlando, FL 32806-1110
Phone
(321) 841-7550
Fax
(321) 840-1569
NPI assigned
May 18, 2016
Last updated
Jul 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109777 FL
Surgical Physician Assistant 363AS0400X PA9109777 FL Primary

Addresses

Primary practice location

76 Underwood St Ste 300
Orlando, FL 32806-1110

Mailing address

76 Underwood St Ste 300
Orlando, FL 32806-1110
Phone (321) 841-7550

Other practice location 1

10000 W Colonial Dr Ste 288
Ocoee, FL 34761-3432
Phone (407) 521-3600

Other practice location 2

1936 Lee Rd Ste 250
Winter Park, FL 32789-7202
Phone (321) 316-4665

Other practice location 3

1804 Oakley Seaver Dr Ste A
Clermont, FL 34711-1925
Phone (352) 243-2622

Other names 1

  • Michelle Dellene Professional name

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
I20161117000637 FL Practitioner - Physician Assistant 3678852589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

1900 Don Wickham Dr
Clermont, FL 34711-1979

22 W Underwood St
Orlando, FL 32806-1110
Phone (407) 648-3800

2440 Hooks St
Clermont, FL 34711-3514
Phone (321) 841-7550

32 W Gore St
Orlando, FL 32806-1134

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

76 W Underwood St
Orlando, FL 32806-1110

86 W Underwood St
Orlando, FL 32806-1110
Phone (407) 896-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9109777FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

10000 W Colonial Dr
Ste 288
Ocoee, FL 34761
Phone (407) 521-3600

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

76 Underwood St
Ste 300
Orlando, FL 32806
Phone (321) 841-2800

17000 Porter Rd
Ste 209
Winter Garden, FL 34787
Phone (407) 524-3600

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1760839856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 UNDERWOOD ST STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-841-7550",
            "fax_number": "321-840-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 UNDERWOOD ST STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "321-841-7550",
            "fax_number": "321-840-1569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 W Colonial Dr Ste 288",
            "address_purpose": "LOCATION",
            "city": "Ocoee",
            "state": "FL",
            "postal_code": "347613432",
            "country_code": "US",
            "telephone_number": "407-521-3600",
            "fax_number": "407-521-3603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1936 Lee Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327897202",
            "country_code": "US",
            "telephone_number": "321-316-4665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 Oakley Seaver Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347111925",
            "country_code": "US",
            "telephone_number": "352-243-2622",
            "fax_number": "352-243-6277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VLASSIS",
        "first_name": "MICHELLE",
        "middle_name": "DELLENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109777",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9109777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DELLENE",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.