Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MICHAEL KEENAN ADDIS
NPI 1073429122
Nurse Practitioner in Orange City, FL

Q: What is Michael Addis's NPI number?

The NPI number for Michael Addis is 1073429122. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Q: What is Michael Addis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Addis was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since August 19, 2026

2156 BIG BEND AVE, ORANGE CITY, FL 32763(407) 808-1121 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Michael Keenan Addis NPPES

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

MICHAEL KEENAN ADDIS (NPI 1073429122) is an individual nurse practitioner in Orange City, Florida, licensed in Florida (11050060) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1073429122

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMICHAEL KEENAN ADDIS

Location Address2156 BIG BEND AVEOrange City, FL 32763-7722

Mailing Address2156 Big Bend AveOrange City, FL 32763-7722

Phone(407) 808-1121

Sole ProprietorNo

Enumeration DateAugust 19, 2026

NPPES CertifiedAugust 19, 2026

✔ NPI 1073429122 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 · 11050060

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.

2156 BIG BEND AVE, Orange City, FL 32763

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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 Michael Addis's NPI number?

The NPI number for Michael Addis is 1073429122. It was assigned to this individual provider in the NPPES registry on August 19, 2026.

Where is Michael Addis located?

Michael Addis practices at 2156 Big Bend Ave, Orange City, FL 32763. The listed phone number is (407) 808-1121.

What is Michael Addis's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Addis was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.