MICHELLE EVERLY PHILLIPS
NPI 1487466074
Family Medicine in Jacksonville, FL

Active since January 22, 2025PECOS EnrolledAccepts Medicare Assignment
4655 SALISBURY RD STE 220, JACKSONVILLE, FL 32256(904) 570-9404(904) 900-2224 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michelle Everly Phillips NPPES

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

MICHELLE EVERLY PHILLIPS (NPI 1487466074) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ARNP11037283) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487466074
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE EVERLY PHILLIPS
Location Address4655 SALISBURY RD STE 220Jacksonville, FL 32256-0959
Mailing Address36644 Dyal RdCallahan, FL 32011-3483 · (904) 338-6948
Fax(904) 900-2224
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1487466074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ARNP11037283
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4655 SALISBURY RD STE 220, Jacksonville, FL 32256

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 Everly Phillips 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 ID8123558764
PECOS Enrollment IDI20250211003377
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 32256 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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 16

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

Nurse Practitioner (Family)
4655 SALISBURY RD STE 220
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
4655 SALISBURY RD STE 220
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
4655 SALISBURY RD STE 220
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
4655 SALISBURY RD STE 220
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
4655 SALISBURY RD STE 220
JACKSONVILLE, FL 32256
Nurse Practitioner (Family)
4655 SALISBURY RD STE 220
JACKSONVILLE, FL 32256
Nurse Practitioner (Primary Care)
4655 SALISBURY RD STE 220
JACKSONVILLE, FL 32256
General Practice
4655 SALISBURY RD STE 220
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487466074, enumerated as an "individual" on January 22, 2025.

The provider is located at 4655 SALISBURY RD STE 220 JACKSONVILLE, FL 32256 and the phone number is (904) 570-9404.

Family Medicine with taxonomy code 207Q00000X.