Ivelisse Michel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TRN 10528 Issued in FL

Practice address

700 6TH St S
St Petersburg, FL 33701-4815

Phone

(727) 893-6116

NPI assigned

Oct 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

HospitalistAlso: Internal Medicine

Education

Medical College of Wisconsin, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adfinitas Health Palliative Services, LLCGroup PAC ID 0042609307, 4 clinicians

Mdics at Civista LLCGroup PAC ID 8325200793, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Charles Regional Medical Center Hospital, La Plata, MD, CCN 210035
• Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: imichel548058@direct.umm.edu

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Civista Medical Center Inc

  • Rural Acute Care Hospital
  • La Plata, MD
  • NPI 1992701825

  Corporate Director

  CMS ownership
• Civista Medical Center, Inc.

  • Physical Therapist
  • La Plata, MD
  • NPI 1689071219

  Corporate Director

  CMS ownership

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.

• Adfinitas Health Palliative Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Annapolis, MD
  • NPI 1942962592
  Medicare reassignment Care Compare group NPD
• Mdics at Civista LLC

  • Hospitalist Physician
  • La Plata, MD
  • NPI 1225323496
  Medicare reassignment Care Compare group NPD
• Mdics at Anne Arundel LLC

  • Hospitalist Physician
  • Annapolis, MD
  • NPI 1427343664
  Medicare reassignment NPD
• Mdics at Calvert LLC

  • Hospitalist Physician
  • Prince Frederick, MD
  • NPI 1033404207
  Medicare reassignment NPD
• Mdics Rehabilitative Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1124313309

  DC, Family Medicine

  Medicare reassignment NPD
• Adfinitas Health Palliative Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Honesdale, PA
  • NPI 1710734785
  NPD
• Mdics Rehabilitative Services - Ltcaco LLC

  • Internal Medicine Physician
  • La Plata, MD
  • NPI 1033005475
  NPD
• Adfinitas Health at Up Marquette, PLLC

  • Hospitalist Physician
  • Marquette, MI
  • NPI 1205336260
  NPD (past)
• Adfinitas Health Palliative Services, PLLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Springfield, MA
  • NPI 1336879279
  NPD (past)
• Civista Medical Center Inc

  • Rural Acute Care Hospital
  • La Plata, MD
  • NPI 1992701825
  NPD (past)
• Hospitalist Services at Moses Taylor, LLC

  • Hospitalist Physician
  • Scranton, PA
  • NPI 1497366207
  NPD (past)

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

• Civista Medical Center Inc

  • Rural Acute Care Hospital
  • La Plata, MD
  • NPI 1992701825
  Care Compare affiliation
• Civista Medical Center, Inc.

  • Physical Therapist
  • La Plata, MD
  • NPI 1689071219

  Hospital

  Care Compare affiliation
• Medstar Southern Maryland Hospital Center Inc

  • General Acute Care Hospital
  • Clinton, MD
  • NPI 1366790693
  Care Compare affiliation

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1952590630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014815",
            "telephone_number": "727-893-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014815",
            "telephone_number": "727-893-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "IVELISSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN 10528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariel Faith Michaels, MD
• Sharon Renee Michaels, LCSW,CAP
• Patricia Mary Michalski, FNP-BC
• Brecca Lynn Michaud, OTR/L
• Alexis Micheau
• Michelle Spuza Milord MD PA
• John Thomas Michoian, RN
• Stase Elena Michota
• Dominique Jalisia Mickler, LCSW
• Darly Micourt, ARNP

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.