Individual provider Active NPI

Michael Paul Levaugh, ARNP

  • Family Nurse Practitioner
  • Pace, FL
National Provider Identifier
1992091631
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9232865 Issued in FL
Practice address
4944 Highway 90
Pace, FL 32571-1413
Phone
(850) 994-0431
Fax
(850) 994-0904
NPI assigned
Jun 21, 2011
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 ARNP9232865 FL Primary

Addresses

Primary practice location

4944 Highway 90
Pace, FL 32571-1413

Mailing address

4944 Highway 90
Pace, FL 32571-1413
Phone (850) 994-0431

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address micheal.levaugh@srmcfl.com

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
I20110826000693 FL Practitioner - Nurse Practitioner 3173793247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

4225 Woodbine Rd
Pace, FL 32571-8791
Phone (850) 994-6575

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9232865FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management, LLC CurrentSince Jun 1, 2012 Accepting new patients
Santa Rosa Hma Urgent Care LLC Past Accepting new patients

Locations

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

4944 Highway 90
Pace, FL 32571
Phone (850) 994-0431

Interoperability endpoints

  • Direct secure messaging: michael.levaugh.1@30520.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1992091631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711413",
            "telephone_number": "850-994-0431",
            "fax_number": "850-994-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 HIGHWAY 90",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711413",
            "telephone_number": "850-994-0431",
            "fax_number": "850-994-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVAUGH",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9232865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "micheal.levaugh@srmcfl.com",
            "affiliation": "N",
            "endpointDescription": "amr  direct messaging",
            "address_1": "4944 Highway 90",
            "city": "Pace",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325711413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pace, FL

Sources for this page

Verify at the official NPI Registry.