Active NPI
Michelle Dellene Vlassis, PA-C
- Surgical Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA9109777
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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, IncAbility Health Services and Rehabilitation LP
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109777 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | 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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Orlando Health South Lake Hospital
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.