Michelle L Sidor, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9197534 Issued in FL

Practice address

4685 N Highway 19a
Mount Dora, FL 32757-2039

Phone

(352) 589-5900

NPI assigned

Oct 18, 2016

Last updated

Nov 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
• Adventhealth Waterman Hospital, Tavares, FL, CCN 100057
• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHBCBD
• FHIR API: https://fhir4.healow.com/fhir/r4/JBDHAD

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.

• Aegis Medical Group LLC

  • Internal Medicine Physician
  • Leesburg, FL
  • NPI 1356769384
  Medicare reassignment NPD
• Florida Pain Care PLLC

  • Pain Clinic/Center
  • Clermont, FL
  • NPI 1114438215
  Medicare reassignment NPD
• Lakeview Healthcare System, LLC

  dba Lakeview Internal Medicine, PA

  • Internal Medicine Physician
  • Summerfield, FL
  • NPI 1841484979
  Medicare reassignment NPD
• Pulmonary Group of Central Florida, LLC

  • Pulmonary Disease Physician
  • Leesburg, FL
  • NPI 1346409802
  Medicare reassignment NPD
• Hilbert Zeballos PA

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1629413125
  NPD
• Lakeview Healthcare System, LLC

  dba Lakeview Internal Medicine, PA

  • Specialist
  • Leesburg, FL
  • NPI 1215694674
  NPD

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Florida Hospital Waterman Inc

  dba AdventHealth Waterman

  • General Acute Care Hospital
  • Tavares, FL
  • NPI 1821019571
  Care Compare affiliation
• South Lake Hospital, Inc.

  dba Orlando Health South Lake Hospital

  • General Acute Care Hospital
  • Clermont, FL
  • NPI 1336221019
  Care Compare affiliation

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1821549437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SE 167TH PLACE RD UNIT 5",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918682",
            "telephone_number": "352-307-9925",
            "fax_number": "352-307-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 N HIGHWAY 19A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572039",
            "telephone_number": "352-589-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOR",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9197534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Shoemaker
• Clifford Michael Shooker, D.C.
• Larry Edward Shyers, PH.D.
• Benson Sia, P.T.
• Trey Sidenbender
• Veronika Siebenkotten-Branca, MD
• Shauna Simon
• Stephanie Simon, RBT
• Riana Colvin Skorupa, ARNP-BC
• Brittany Smith, RBT

• Family Nurse Practitioner in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.