Michelle Leiter, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9111780 Issued in FL

Practice address

10200 Arcos Ave Ste 201
Estero, FL 33928-3529

Phone

(239) 390-3376

Fax

(239) 333-0474

NPI assigned

Nov 5, 2018

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

Other names 1

• Michelle Wrasse Former name

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

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Estero Dermatology and Skin Surgery Center, LLCGroup PAC ID 6103822176, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.5 of 100Reported as group

Quality

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Estero Dermatology & Skin Surgery Center, LLC

  • Dermatology Physician
  • Estero, FL
  • NPI 1568481901
  Medicare reassignment Care Compare group
• Associates in Medicine & Surgery LLC

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
  • NPI 1386884385
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1831667153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 ARCOS AVE STE 201",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283529",
            "telephone_number": "239-390-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 ARCOS AVE STE 201",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283529",
            "telephone_number": "239-390-3376",
            "fax_number": "239-333-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITER",
        "first_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WRASSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lee Memorial Health System
• Alison Kroupa Lees, ARNP
• Legacy Family Care & Wellness LLC
• Legacy Physical Therapy & Balance Specialists LLC
• Aaron Allen Leishman, DMD
• Kelly Lepore, LMHC
• Alanna Jessica Levine
• Liberty Personal LLC
• Little Roots Behavioral Services
• David R Llewellyn

• Physician Assistant in Estero, FL
• Providers in Estero, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.