Michelle N Waters (NPI# 1376091165, PAC ID# 4082994728) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376091165 |
| PAC ID by PECOS | 4082994728 |
| Professional Enrollment ID | I20161214002677 |
| Full Name | Michelle N Waters |
| Organization Legal Name | MCCI GROUP HOLDINGS LLC |
| Address |
1786 Blanding Blvd Suite 3 Middleburg FL 32068-3804 |
| Phone Number | 9042828000 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284717422 |
| Number of Group Practice Members | 95 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 | 9042828000 | MCCI GROUP HOLDINGS LLC |
| Organization Legal Name | MCCI GROUP HOLDINGS LLC |
| Physicians | 92 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alejandra Alvarez | Family Medicine | Mcci Group Holdings LLC | 440 W 49th St, Hialeah, FL 33012-3603 |
| William Michael Russell | Internal Medicine | Mcci Group Holdings LLC | 5317 W Atlantic Ave, Delray Beach, FL 33484-8175 |
| Kingsley D Aliu | Internal Medicine | Mcci Group Holdings LLC | 1028 Dunn Ave, Jacksonville, FL 32218-4830 |
| Elizabeth Mones | Family Medicine | Mcci Group Holdings LLC | 9740 Sw 40th St, Miami, FL 33165-4080 |
| Lee S Epstein | Internal Medicine | Mcci Group Holdings LLC | 3731 Lake Worth Rd, Suite 1, Lake Worth, FL 33461-4062 |
| Michael A Machek | Family Medicine | Mcci Group Holdings LLC | 5238 -16 Norwood Ave, Jacksonville, FL 32208-5005 |
| Jose M Armas | Family Practice | Mcci Group Holdings LLC | 9100 Coral Way, Miami, FL 33165-2066 |
| Noelle T Stewart | Internal Medicine | Mcci Group Holdings LLC | 9030 Kimberly Blvd, Boca Raton, FL 33434-2823 |
| Nesha-gay J Edwards | Internal Medicine | Mcci Group Holdings LLC | 5849 Okeechobee Blvd, Suite 301, West Palm Beach, FL 33417-4352 |
| Kim M Brew | Nurse Practitioner | Mcci Group Holdings LLC | 449621 W Hwy 301, Suite 110, Callahan, FL 32011-9348 |
| Street Address |
1786 BLANDING BLVD SUITE 3 |
| City | MIDDLEBURG |
| State | FL |
| Zip | 32068-3804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary E Brown | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Christopher D Roman | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Vanessa Seiglie Quinones | Internal Medicine | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Elizabeth A Bathala | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James Wesley Carter | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James M Russell | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Alicia M Rivera | Nurse Practitioner | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Paul Byra | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Kardelina Diaz | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany M Mcnamee | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Marcio M Correa | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Karen Ann Stover | Nurse Practitioner | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Brandon Hayes Conway | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Kelly S Paradise | Nurse Practitioner | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Phillip L Goldston | Nurse Practitioner | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Jason S Misel | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| William D Speer | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| James Walter Hodges | Family Medicine | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Cassandra Lee Dufano | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Find all physicians in zip 32068 | |||
| City | MIDDLEBURG |
| Zip Code | 32068 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIDDLEBURG + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.