Individual provider Active NPI

Michelle Debacker, CNP

  • Family Nurse Practitioner
  • Palm Desert, CA
National Provider Identifier
1932678489
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
023799 Issued in OH
Practice address
44419 Town Center Way Ste E
Palm Desert, CA 92260-7100
Phone
(604) 699-8437
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 023799 OH Primary

Addresses

Primary practice location

44419 Town Center Way Ste E
Palm Desert, CA 92260-7100

Mailing address

44419 Town Center Way Ste E
Palm Desert, CA 92260-7100
Phone (760) 469-9843

Other practice location 1

8756 Boynton Beach Blvd Ste 150
Boynton Beach, FL 33472-4442
Phone (561) 740-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181204002647 OH Practitioner - Nurse Practitioner 4880938703 Reassigns benefits to 1 organization
I20211105000025 CA Practitioner - Nurse Practitioner 4880938703
I20240501000185 FL Practitioner - Nurse Practitioner 4880938703 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Boynton Urgent Care LLCGroup PAC ID 0941456537, 7 clinicians

Practice addresses (Care Compare)

129 S State Rd
7 Suite 401
Royal Palm Beach, FL 33414-4379
Phone (561) 425-7801

8756 Boynton Beach Blvd
Suite 150
Boynton Beach, FL 33472-4442
Phone (561) 740-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023799OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hma/Solantic Joint Venture, LLC CurrentSince Mar 18, 2024 Accepting new patients
Solantic/South Florida, LLC CurrentSince Mar 18, 2024 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Mar 18, 2024 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Mar 18, 2024 Accepting new patients
CG Medical Associates Inc CurrentSince Nov 23, 2018 Accepting new patients
West Boynton Urgent Care, LLC CurrentSince Mar 18, 2024 Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

519 S Breiel Blvd
Middletown, OH 45044
Phone (513) 433-1288

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Organizations & group practices 6

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1932678489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44419 TOWN CENTER WAY STE E",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922607100",
            "telephone_number": "760-469-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44419 TOWN CENTER WAY STE E",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922607100",
            "telephone_number": "604-699-8437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8756 Boynton Beach Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334724442",
            "country_code": "US",
            "telephone_number": "561-740-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBACKER",
        "first_name": "MICHELLE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.