Michelle Henne, M.D., P.A.
NPI 1962938894ActiveOrganization· Family Medicine, Sports Medicine· Lakeland, FL
Family Medicine, Sports Medicine in Lakeland, Florida, registered in NPPES in May 2017. The authorized official on file is Michelle Henne, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962938894 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2017 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | — | — |
| Clinic/Center, Medical Specialty | 261QM2500X | ME121120 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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