Individual provider Active NPI

Michelle A Valentino

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1992006514
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336168 Issued in NY
Practice address
1000 E Indiantown Rd
Jupiter, FL 33477-5111
Phone
(561) 741-5566
Fax
(561) 295-5237
NPI assigned
Nov 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336168 NY Primary

Addresses

Primary practice location

1000 E Indiantown Rd
Jupiter, FL 33477-5111

Mailing address

1000 E Indiantown Rd
Jupiter, FL 33477-5111
Phone (561) 741-5566

Other practice location 1

975 Westchester Ave
Bronx, NY 10459-3204
Phone (718) 320-4466

Other identifiers 2

IdentifierTypeStateIssuer
F336168OtherNYNYS LICENSE
00695941MedicaidNY

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
I20240229001390 FL Practitioner - Nurse Practitioner 7416125315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F336168NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Jupiter Medical Center Physicians Group CurrentSince Apr 1, 2023 Accepting new patients

Locations

136 Jupiter Lakes Blvd
Jupiter, FL 33458
Phone (561) 741-5591

5430 Military Trl
Ste 62
Jupiter, FL 33458
Phone (561) 263-4343

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1000 E Indiantown Rd
Jupiter, FL 33477
Phone (561) 741-5566

2854 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-0953

3401 Pga Blvd
Ste 320
West Palm Bch, FL 33410
Phone (561) 626-3385

Interoperability endpoints

  • Direct secure messaging: michelle.valentino@552337174953988.direct.elationemr.com

Organizations & group practices 3

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": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1992006514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775111",
            "telephone_number": "561-741-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775111",
            "telephone_number": "561-741-5566",
            "fax_number": "561-295-5237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104593204",
            "country_code": "US",
            "telephone_number": "718-320-4466",
            "fax_number": "718-991-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINO",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2024-02-02",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "F336168",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.