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MICHAEL HENNESSEY M. D.
NPI 1457315277
Obstetrics & Gynecology in Ft Walton Beach, FL

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
907 MAR WALT DR, SUITE 2024, FT WALTON BEACH, FL 32547(850) 243-2229(850) 862-0124 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Hennessey M. D. NPPES

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

MICHAEL HENNESSEY M. D. (NPI 1457315277) is an individual obstetrics & gynecology provider in Ft Walton Beach, Florida, licensed in Florida (ME83428) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Fort Walton-destin Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1998).

NPPES Registry Identity

NPI1457315277
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMICHAEL HENNESSEYCredential: M. D.
Location Address907 MAR WALT DR, SUITE 2024Ft Walton Beach, FL 32547-6960
Mailing Address907 Mar Walt Dr, Suite 2024Ft Walton Beach, FL 32547-6960 · (850) 243-2229 · Fax (850) 862-0124
Phone(850) 243-2229
Fax(850) 862-0124
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1998
Enumeration DateApril 17, 2006
Last NPPES UpdateAugust 15, 2011
✔ NPI 1457315277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME83428
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
907 MAR WALT DR, Ft Walton Beach, FL 32547
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH79573FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Hennessey M. D. 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 ID6800826652
PECOS Enrollment IDI20050822000320
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Hennessey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diana Health Fl P.A.
0.4 mi
Obstetrics & Gynecology
1046 MAR WALT DR, SUITE 200
Fort Walton Beach, FL 32547
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Diana Health Fl, PA
  • 98 clinicians in this Medicare group
NPI 1194591966 (850) 243-2229
Absolute Obgyn LLC
32 mi
Obstetrics & Gynecology
1118 GULF BREEZE PKWY STE 201
Gulf Breeze, FL 32561
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1801301122 (850) 916-1872

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 12

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

MRS. KELSIE LEEANNE YANG PA-C
Physician Assistant (Surgical)
907 MAR WALT DR, SUITE 2024
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-2229
NICOLE MILLER, PMHNP-BC, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
907 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 781-3185
GUILLOT ENTERPRISES, LLC
Clinic/Center (Hearing and Speech)
907 MAR WALT DR, SUITE 2012
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 244-0406
DIGITRACE CARE SERVICES
Durable Medical Equipment & Medical Supplies
907 MAR WALT DR, SUITE 2021
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-0006
IN YOUR DREAMS INTERNATIONAL INC
Durable Medical Equipment & Medical Supplies
907 MAR WALT DR, SUITE 2021
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-0006
SLEEPMED THERAPIES INC.
Durable Medical Equipment & Medical Supplies
907 MAR WALT DR, SUITE 2022
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-0006
MICHAEL H. HENNESSEY, MD, PA
Obstetrics & Gynecology
907 MAR WALT DR, SUITE 2024
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 243-2229
IN YOUR DREAMS INTERNATIONAL INC
Clinic/Center (Sleep Disorder Diagnostic)
907 MAR WALT DR, SUITE 2021
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-0006

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 Hennessey's NPI number?

The NPI number for Michael Hennessey is 1457315277. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Michael Hennessey located?

Michael Hennessey practices at 907 Mar Walt Dr Suite 2024, Ft Walton Beach, FL 32547. The listed phone number is (850) 243-2229.

What is Michael Hennessey's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Hennessey enrolled in Medicare?

Yes. Michael Hennessey 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.

Which organizations bill Medicare for Michael Hennessey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hennessey reassigns Medicare benefits to 2 organizations: Diana Health Fl P.A. (Fort Walton Beach, FL) and Absolute Obgyn LLC (Gulf Breeze, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Hennessey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hennessey accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Michael Hennessey 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.

Is Michael Hennessey affiliated with any hospitals?

According to CMS data, Michael Hennessey is affiliated with Hca Florida Fort Walton-Destin Hospital.

When was this NPI record last updated?

The NPPES record for Michael Hennessey was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.