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MICHELLE BUNDRUM
NPI 1043679194
Social Worker - Clinical in Kenansville, FL

Active since February 17, 2016PECOS EnrolledAccepts Medicare Assignment
1450 S KENANSVILLE RD, KENANSVILLE, FL 34739(407) 770-9291 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2020, Feb 17, 2016 (2 updates tracked since 2016).

About Michelle Bundrum NPPES

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

MICHELLE BUNDRUM (NPI 1043679194) is an individual clinical provider in Kenansville, Florida, licensed in Florida (SW15749) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043679194
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELLE BUNDRUM
Location Address1450 S KENANSVILLE RDKenansville, FL 34739-9637
Mailing Address517 Deltona Blvd Ste ADeltona, FL 32725-8016 · (407) 770-9291
Phone(407) 770-9291
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 17, 2016
Last NPPES UpdateMarch 23, 20202 updates tracked since enumeration
NPPES CertifiedMarch 23, 2020
✔ NPI 1043679194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW15749
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1450 S KENANSVILLE RD, Kenansville, FL 34739
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Other Names 1

Former Name (1)Michelle Gil

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Bundrum is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507244373
PECOS Enrollment IDI20220607001670
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34739 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Bundrum's NPI number?

The NPI number for Michelle Bundrum is 1043679194. It was assigned to this individual provider in the NPPES registry on February 17, 2016. The provider is also known as Michelle Gil.

Where is Michelle Bundrum located?

Michelle Bundrum practices at 1450 S Kenansville Rd, Kenansville, FL 34739. The listed phone number is (407) 770-9291.

What is Michelle Bundrum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michelle Bundrum enrolled in Medicare?

Yes. Michelle Bundrum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Bundrum accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Michelle Bundrum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michelle Bundrum was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.