Active NPI
Michelle G Leon, APRN 1896212
- Internal Medicine Physician
- Davie, FL
National Provider Identifier
1962561647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- NP1896212
- Practice address
- 4825 SW 148TH Ave
Davie, FL 33330 - Phone
- (954) 990-6901
- Fax
- (954) 832-0063
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP1896212 | FL | |
| Internal Medicine Physician | 207R00000X | NP1896212 | FL | Primary |
Addresses
Primary practice location
4825 SW 148TH Ave
Davie, FL 33330
Mailing address
4825 SW 148TH Ave
Davie, FL 33330
Phone (954) 294-8678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300722700 | Medicaid | FL |
Other names 1
- Mrs. Michelle Grace Binns
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1896212 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilfred C McKenzie PA | Internal Medicine | Current | Accepting new patients |
Locations
1625 SE 3rd Ave
Ft Lauderdale, FL 33316
Phone (954) 722-4950
1625 SE 3rd Ave
Ste 400
Ft Lauderdale, FL 33316
Phone (954) 832-0055
Interoperability endpoints
- michellebinns@wmkmd.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Plantation, FL
- NPI 1295705838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1962561647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4825 SW 148TH AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "33330",
"telephone_number": "954-294-8678",
"fax_number": "954-832-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4825 SW 148TH AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "33330",
"telephone_number": "954-990-6901",
"fax_number": "954-832-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "MICHELLE",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "APRN 1896212",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "NP1896212",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "NP1896212",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300722700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "BINNS",
"middle_name": "GRACE",
"prefix": "MRS.",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.