Individual provider Active NPI

Michelle Vann

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1982268132
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9111985 Issued in FL
Practice address
21301 Powerline Rd
Boca Raton, FL 33433-2388
Phone
(561) 961-0255
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027949 NY
Physician Assistant 363A00000X 9111985 FL Primary
Physician Assistant 363A00000X 66037 CA

Addresses

Primary practice location

21301 Powerline Rd
Boca Raton, FL 33433-2388

Mailing address

7245 Carmel CT
Boca Raton, FL 33433-5544

Other practice location 1

333 1st St
San Francisco, CA 94105-2687
Phone (888) 803-3370

Other practice location 2

65 W 36th St Ofc 11-05
New York, NY 10018-7902
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20191231000930 FL Practitioner - Physician Assistant 4183058050 Reassigns benefits to 8 organizations
I20260114002320 NY Practitioner - Physician Assistant 4183058050 Reassigns benefits to 1 organization
I20260119000297 CA Practitioner - Physician Assistant 4183058050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Critical Care Associates LLCGroup PAC ID 6608186317, 27 clinicians

Practice addresses (Care Compare)

21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (800) 655-2656

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
66037CAMDPhysician Assistant
9111985FLMDPhysician Assistant
027949NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Accountable Care Hospitalist Group CurrentSince Jan 1, 2025 Accepting new patients
South Broward Hospital District CurrentSince Nov 17, 2019 Accepting new patients
Circle Medical Care of New York PC CurrentSince Dec 9, 2025 Accepting new patients
South Broward Hospital District CurrentSince Nov 17, 2019 Accepting new patients
Circle Medical Care of California CurrentSince Dec 9, 2025 Accepting new patients

Locations

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

156 William St
Rm 303
New York, NY 10038
Phone (718) 866-4435

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1982268132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 CARMEL CT",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332388",
            "telephone_number": "561-961-0255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 1st St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052687",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 W 36th St Ofc 11-05",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187902",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027949",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111985",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.