Individual provider Active NPI

Michelle G Leon, APRN 1896212

  • Internal Medicine Physician
  • Davie, FL
National Provider Identifier
1962561647
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NP1896212 Issued in FL
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

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
300722700MedicaidFL

Other names 1

  • Mrs. Michelle Grace Binns Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000673 FL Practitioner - Nurse Practitioner 4789730698 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1896212FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilfred C McKenzie PA Internal Medicine CurrentSince Oct 1, 2010 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.