Individual provider Active NPI

Michelle Deschamplain, MD

  • Vascular Surgery Physician
  • Bradenton, FL
National Provider Identifier
1952510299
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME150243 Issued in FL
Practice address
714 Manatee Ave E
Bradenton, FL 34208-1235
Phone
(941) 212-2010
Fax
(941) 212-3330
NPI assigned
May 22, 2007
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35C.002869 OH
Vascular Surgery Physician 2086S0129X 0101244277 VA
Vascular Surgery Physician 2086S0129X ME150243 FL Primary

Addresses

Primary practice location

714 Manatee Ave E
Bradenton, FL 34208-1235

Mailing address

714 Manatee Ave E
Bradenton, FL 34208-1235
Phone (941) 212-2010

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210525001537 FL Practitioner - Vascular Surgery 0840314969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Virginia Commonwealth University, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manatee Specialty Physician Alliance LLCGroup PAC ID 8921473927, 27 clinicians

Practice addresses (Care Compare)

714 Manatee Ave E
Bradenton, FL 34208-1235
Phone (941) 900-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME150243FLMDVascular Surgery Physician
35C.002869OHMDVascular Surgery Physician
3459SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Port Charlotte Hma Physician Management LLC CurrentSince Jul 1, 2021 Accepting new patients
Florida Hospital Physician Group Inc Vascular Surgery CurrentSince Mar 1, 2025 Accepting new patients
Port Charlotte Hma Physician Management LLC CurrentSince Jul 1, 2021 Accepting new patients
Manatee Specialty Physician Alliance, LLC CurrentSince Sep 29, 2025 Accepting new patients
Tidewater Kidney Specialists, Inc. Vascular Surgery PastSince Jan 14, 2019 Accepting new patients

Locations

200 3rd Ave W
Ste 110
Bradenton, FL 34205
Phone (941) 744-2700

714 Manatee Ave E
Bradenton, FL 34208
Phone (941) 212-2010

2521 Del Prado Blvd N
Cape Coral, FL 33909
Phone (239) 242-1357

1641 Tamiami Trl
Ste 2
Pt Charlotte, FL 33948
Phone (941) 255-3499

2400 Harbor Blvd
Ste 7
Pt Charlotte, FL 33952
Phone (941) 625-0677

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1952510299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081235",
            "telephone_number": "941-212-2010",
            "fax_number": "941-212-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081235",
            "telephone_number": "941-212-2010",
            "fax_number": "941-212-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESCHAMPLAIN",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35C.002869",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101244277",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME150243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.