Active NPI
Sara Victoria Notman-Michel, PA-C
- Physician Assistant
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9111936
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184824542 | Medicaid | FL |
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
208 NE 19TH Dr
Okeechobee, FL 34972-1932
Phone (866) 724-6807
Hospital & facility affiliations
- HCA Florida Raulerson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.12 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9111936 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Surgery and Endoscopy Centers LLC | Current | 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
- 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.
-
- Pain Medicine (Anesthesiology) Physician
- Stuart, FL
- NPI 1295776243
-
- Ambulatory Surgical Clinic/Center
- West Palm Beach, FL
- NPI 1407227358
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Okeechobee, FL
- NPI 1215974134
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
- Northland Hearing Centers, Inc.
- Amy S Norton
- Donna Lynn Norton, M.A.
- Not Alone Homecare, LLC
- Not Alone Homecare, LLC
- November & Associates Speech-Language & Developmental Center, Inc.
- Rosemarie November, M.A., CCC-SLP
- NS Medical Associates
- Valerie Alicia Nunez
- Nutegra Mental Health and Nutrition Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.