Individual provider Active NPI

Michelle Celena Gozar, ARNP

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1811480437
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9250637 Issued in FL
Practice address
1300 SW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-2109
Phone
(772) 878-7078
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9250637 FL
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X ARNP9250637 FL Primary

Addresses

Primary practice location

1300 SW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-2109

Mailing address

1801 SW Castinet LN
Port Saint Lucie, FL 34953-1563
Phone (772) 214-8368

Other names 1

  • Mrs. Michelle Celena Haddock Former 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
I20210812002650 FL Practitioner - Nurse Practitioner 8224432299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1801 SW Castinet LN
Administration Address
Port Saint Lucie, FL 34953-1563
Phone (772) 214-8368

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9250637FLMDFamily Nurse Practitioner
ARNP9250637FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Wound Care LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.gozar@504256901349380.direct.elationemr.com
  • Direct secure messaging: michelle.gozar@7640482381828.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1811480437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SW CASTINET LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349531563",
            "telephone_number": "772-214-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SW SAINT LUCIE WEST BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862109",
            "telephone_number": "772-878-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZAR",
        "first_name": "MICHELLE",
        "middle_name": "CELENA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9250637",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9250637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HADDOCK",
            "middle_name": "CELENA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.