Micheline G Petit, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11019296 Issued in FL

Practice address

1630 S Congress Ave Ste 200
Palm Springs, FL 33461-2171

Phone

(561) 253-3980

Fax

(561) 253-3985

NPI assigned

Apr 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cancer Center of South Florida PLLCGroup PAC ID 8426120239, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
• Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mpetit321493@direct.tgh.org
• Direct secure messaging: mpetit20607@jupitermedicalcenter.direct-ci.com
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Cancer Center of South Florida PLLC

  • Oncology Clinic/Center
  • Palm Springs, FL
  • NPI 1194990333
  Medicare reassignment Care Compare group NPD
• Cancer Center of South Florida PLLC

  • Hematology & Oncology Physician
  • Riverview, FL
  • NPI 1558943761
  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Palm Beach Med-Care PA

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1255525986
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• JFK Medical Center Limited Partnership

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• Palm Beach Gardens Community Hospital, Inc.

  • General Acute Care Hospital
  • Palm Beach Gardens, FL
  • NPI 1144251216
  Care Compare affiliation

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1942944293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160748",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160748",
            "telephone_number": "561-561-2533",
            "fax_number": "561-253-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S CONGRESS AVE STE 200",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612171",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14437 68th St N",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334704598",
            "country_code": "US",
            "telephone_number": "561-225-8177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11621 Kew Gardens Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102853",
            "country_code": "US",
            "telephone_number": "561-253-3980",
            "fax_number": "561-253-3985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETIT",
        "first_name": "MICHELINE",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019296",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11019296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Manuel Alejandro Perez
• Rolando Perez, LCSW
• Yadira Perez
• Kyle Pettersen, DDS
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• John Phelps
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• Physicians Consortium Group LLC

• Family Nurse Practitioner in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.