Michael Scott Willens, D.O.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

OS8432 Issued in FL

Practice address

3003 Claire LN 100
Jacksonville, FL 32223-6645

Phone

(904) 683-2596

Fax

(904) 683-2597

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Pain ManagementAlso: Anesthesiology, Osteopathic Manipulative Medicine, Pain Management

Education

Michigan State University College of Osteopathic Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBAHCA/Endpoint/CBAHCA

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.

• Advanced Pain Management Clinic, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1316179245
  Medicare reassignment NPD Authorized official
• Advanced Pain Management Clinic, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
  • NPI 1255565388
  NPD Authorized official
• Neurotek Inc

  • Neurology Physician
  • Orange Park, FL
  • NPI 1033534821
  NPD
• C R Anesthesia PA

  • Anesthesiology Physician
  • Crystal River, FL
  • NPI 1801801527
  NPD (past)
• Florida Anesthesiology & Pain Clinic PA

  • Interventional Pain Medicine Physician
  • Orlando, FL
  • NPI 1659304236

  Anesthesiology

  NPD (past)
• Greater Miami Anesthesia Services, PA

  • Specialist
  • Homestead, FL
  • NPI 1467407007
  NPD (past)
• Northwest Florida Anesthesia Consultants Inc

  • Certified Registered Nurse Anesthetist
  • Sunrise, FL
  • NPI 1497702229

  Anesthesiology

  NPD (past)
• Spartan Anesthesia Associates PA

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1710975636
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1932159381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 CLAIRE LN 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236645",
            "telephone_number": "904-683-2596",
            "fax_number": "904-683-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 CLAIRE LN 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236645",
            "telephone_number": "904-683-2596",
            "fax_number": "904-683-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLENS",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS8432",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS8432",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS8432",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS8432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "03193A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerra Wilkinson, APRN
• Melanie N Wilkinson
• Stephanie Wilkinson, M.P.T.
• Geoffrey Daniel Willard, PT, DPT, NCS
• Gregory Donald Willden, IDC
• Sara Elizabeth Willens, REGISTERED DIETITIAN
• Willette Shaeffer DMD PA
• Brianna L Willetts, APRN
• William J Namen II DPM PA
• William M. Hunt, III, M.D. Inc

• Interventional Pain Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Interventional Pain Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.