MICHEL ANGE PROPHYL FNP-BC
NPI 1508577495
Nurse Practitioner - Family in Lake Worth, FL
About Michel Ange Prophyl Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHEL ANGE PROPHYL FNP-BC (NPI 1508577495) is an individual family provider in Lake Worth, Florida, licensed in Florida (APRN11015800) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Michel Ange Prophyl Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Michel Ange Prophyl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pembroke Pines, FL 33026
- Reassigned Medicare billing, Florida enrollment
- 325 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Medical Center
Acute Care Hospitals · West Palm Beach, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33463 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Michel Ange Prophyl's NPI number?
The NPI number for Michel Ange Prophyl is 1508577495. It was assigned to this individual provider in the NPPES registry on December 12, 2022.
Where is Michel Ange Prophyl located?
Michel Ange Prophyl practices at 7929 Aztec Ct, Lake Worth, FL 33463. The listed phone number is (954) 851-5140.
What is Michel Ange Prophyl's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michel Ange Prophyl enrolled in Medicare?
Yes. Michel Ange Prophyl 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 organization bills Medicare for Michel Ange Prophyl's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michel Ange Prophyl reassigns Medicare benefits to Gastro Health, LLC (Pembroke Pines, FL). The 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 Michel Ange Prophyl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michel Ange Prophyl affiliated with any hospitals?
According to CMS data, Michel Ange Prophyl is affiliated with Good Samaritan Medical Center.
When was this NPI record last updated?
The NPPES record for Michel Ange Prophyl was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Michel Ange Prophyl, FNP-BC · NPI 1508577495
Family physician in Lake Worth, Florida. Individual provider, active in the CMS NPPES registry since December 12, 2022.
## Identity
- **NPI:** 1508577495 (Entity type: Individual)
- **Enumerated:** December 12, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11015800 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7929 AZTEC CT, Lake Worth, FL 33463-8038
- **Phone:** (954) 851-5140
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Gastro Health, LLC (NPI 1457026932, Pembroke Pines, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** December 12, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1508577495) · Data from the CMS NPPES public registry.