Individual provider Active NPI

Michele Lucille Coward, APRN FNP-C

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1841760832
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000337 Issued in FL
Practice address
19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone
(941) 787-7111
Fax
(941) 766-7999
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11000337 FL Primary

Addresses

Primary practice location

19531 Cochran Blvd
Port Charlotte, FL 33948-2081

Mailing address

3372 Sherwood Rd
Port Charlotte, FL 33980-8769
Phone (941) 979-0370

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
I20190918002395 FL Practitioner - Nurse Practitioner 5890025878 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000337FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince May 7, 2021 Accepting new patients
Millennium Physician Group LLC CurrentSince Sep 9, 2019 Accepting new patients
MCR Health, Inc. Family CurrentSince May 7, 2021 Accepting new patients
Millennium Physician Group LLC CurrentSince Sep 9, 2019 Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

1609 6th Ave E
Bradenton, FL 34208
Phone (413) 481-1689

579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Interoperability endpoints

  • Direct secure messaging: michele.coward.1@11352.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1841760832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3372 SHERWOOD RD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808769",
            "telephone_number": "941-979-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19531 COCHRAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482081",
            "telephone_number": "941-787-7111",
            "fax_number": "941-766-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWARD",
        "first_name": "MICHELE",
        "middle_name": "LUCILLE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.