Individual provider Active NPI

Sara Victoria Notman-Michel, PA-C

  • Physician Assistant
  • Port St Lucie, FL
National Provider Identifier
1831653468
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111936 Issued in FL
Practice address
573 NW Lake Whitney PL Ste 105
Port St Lucie, FL 34986-1628
Phone
(772) 785-5864
NPI assigned
Jan 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111936 FL Primary

Addresses

Primary practice location

573 NW Lake Whitney PL Ste 105
Port St Lucie, FL 34986-1628

Mailing address

573 NW Lake Whitney PL
Ste 105
Port St Lucie, FL 34986-1628
Phone (772) 785-5864

Other identifiers 1

IdentifierTypeStateIssuer
1184824542MedicaidFL

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
I20190429001126 FL Practitioner - Physician Assistant 6901148659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Anesthesia Associates LLCGroup PAC ID 4183619828, 47 clinicians

Practice addresses (Care Compare)

208 NE 19TH Dr
Okeechobee, FL 34972-1932
Phone (866) 724-6807

Hospital & facility affiliations

  • HCA Florida Raulerson Hospital Hospital, Okeechobee, FL, CCN 100252

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
71.03
Promoting interoperability
100
Improvement activities
40
Cost
83.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9111936FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince May 1, 2024 Accepting new patients

Locations

208 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6431

4510 Donald Ross Rd
Palm Beach Gardens, FL 33418
Phone (910) 691-1853

2300 SE Veterans Memorial Pkwy
Port St Lucie, FL 34952

10244 S US Highway 1
Port St Lucie, FL 34952
Phone (954) 223-5483

111 SE Osceola St
Stuart, FL 34994
Phone (772) 242-7720

111 SE Osceola St
Ste 100
Stuart, FL 34994
Phone (866) 228-7676

325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216

Interoperability endpoints

  • Direct secure messaging: sara.notman-michel.1@30104.direct.athenahealth.com

Organizations & group practices 2

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 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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1831653468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 NW LAKE WHITNEY PL",
            "address_2": "STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861628",
            "telephone_number": "772-785-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "573 NW LAKE WHITNEY PL STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861628",
            "telephone_number": "772-785-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTMAN-MICHEL",
        "first_name": "SARA",
        "middle_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184824542",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.