MICHELLE LEA ANTANOVICH CRNP PMHNP
NPI 1487756458
Nurse Practitioner - Psychiatric/Mental Health in Punta Gorda, FL

Active since September 01, 2006Opted out of Medicare · through Jul 1, 2028
1485 WASSAIL LN, PUNTA GORDA, FL 33983(941) 286-5033 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2022, Dec 22, 2020 (2 updates tracked since 2020).

About Michelle Lea Antanovich Crnp Pmhnp NPPES

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

MICHELLE LEA ANTANOVICH CRNP PMHNP (NPI 1487756458) is an individual psychiatric/mental health provider in Punta Gorda, Florida, licensed in Pennsylvania (SP022065) and active in the NPI registry since September 2006. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1487756458
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE LEA ANTANOVICHCredential: CRNP PMHNP
Location Address1485 WASSAIL LNPunta Gorda, FL 33983-6028
Mailing Address1485 Wassail LnPunta Gorda, FL 33983-6028 · (941) 286-5033
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
NPI 1487756458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in PA · SP022065
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP006096B (PA)
1485 WASSAIL LN, Punta Gorda, FL 33983

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Michelle Lea Antanovich Crnp Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2026 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2026
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
1485 WASSAIL LN
PUNTA GORDA, FL 33983

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 Antanovich's NPI number?

The NPI number for Michelle Antanovich is 1487756458. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Michelle Antanovich located?

Michelle Antanovich practices at 1485 Wassail Ln, Punta Gorda, FL 33983. The listed phone number is (941) 286-5033.

What is Michelle Antanovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michelle Antanovich enrolled in Medicare?

No. Michelle Antanovich has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michelle Antanovich accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Michelle Antanovich 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 Antanovich was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.