Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL J PRENDERGAST A.R.N.P.
NPI 1003886920
Nurse Practitioner in Clearwater, FL

Q: What is Michael Prendergast's NPI number?

The NPI number for Michael Prendergast is 1003886920. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Michael Prendergast's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 24, 2006

22089 US HIGHWAY 19 N, CLEARWATER, FL 33765(727) 287-2784(727) 669-9260 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael J Prendergast A.r.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J PRENDERGAST A.R.N.P. (NPI 1003886920) is an individual nurse practitioner in Clearwater, Florida, licensed in Florida (ARNP9199787) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1003886920

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMICHAEL J PRENDERGASTCredential: A.R.N.P.

Location Address22089 US HIGHWAY 19 NClearwater, FL 33765-2364

Mailing AddressPo Box 16264Clearwater, FL 33766-6264 · (727) 287-2784 · Fax (727) 669-9260

Phone(727) 287-2784

Fax(727) 669-9260

Sole ProprietorNo

Enumeration DateJanuary 24, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1003886920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP9199787

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

22089 US HIGHWAY 19 N, Clearwater, FL 33765

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Other Identifiers 1

OtherY080HFL · Bcbs

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KOREAN ANN BOTTS A.R.N.P.

Nurse Practitioner