| Jessie L Michael, APRN | |
|
2824 Enterprise Rd, Orange City, FL 32763-8428 | |
| (386) 774-7411 | |
| (386) 774-7412 |
| Full Name | Jessie L Michael |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 2824 Enterprise Rd, Orange City, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699494245 | NPI | - | NPPES |
| 115491600 | Medicaid | FL | |
| APRN11021559 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 11021559 (Florida) | Secondary |
| 363L00000X | Nurse Practitioner | APRN11021559 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Cancer Specialists And Research Institute, Llc | 2567356058 | 397 |
| Entity Name | Florida Cancer Specialists & Research Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie L Michael, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Jessie L Michael, APRN 2824 Enterprise Rd, Orange City, FL 32763-8428 Ph: (386) 774-7411 |
Ashley Nicole Briggs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2777 Enterprise Rd Ste 4, Orange City, FL 32763 Phone: 386-774-2550 Fax: 386-774-5140 | |
Mrs. Juliet Omonme Agbator, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 Town Center Dr Ste 100, Orange City, FL 32763 Phone: 386-228-0661 | |
Ms. Traci Lynn Zimmer, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 W Minnesota Ave, Orange City, FL 32763 Phone: 386-316-5439 | |
Mrs. Cristyl Rachelle Mcclure, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5508 | |
Mrs. Lois Kimberly Steinbaum, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2864 Wellness Ave Ste 200, Orange City, FL 32763 Phone: 386-775-0333 | |
Marissa Wagner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2884 Wellness Ave Ste 100, Orange City, FL 32763 Phone: 386-668-2221 | |
Cameka Campbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1133 Saxon Blvd, Orange City, FL 32763 Phone: 386-878-4137 |