MS. GWENDOLYN BRUCH MICHAELMAN P.A.
NPI 1619094174
Physician Assistant - Medical in Tampa, FL

Q: What is Gwendolyn Michaelman's NPI number?

The NPI number for Gwendolyn Michaelman is 1619094174. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Gwendolyn Michaelman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since March 22, 2007PECOS Enrolled

74.99/100

CMS Quality Rating

3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 870-4000 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Ms. Gwendolyn Bruch Michaelman P.a. NPPES

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

MS. GWENDOLYN BRUCH MICHAELMAN P.A. (NPI 1619094174) is an individual medical provider in Tampa, Florida, licensed in Florida (PA9104166) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619094174

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. GWENDOLYN BRUCH MICHAELMANCredential: P.A.

Location Address3001 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307

Mailing Address2727 W Dr Martin Luther King Jr Blvd, Suite Number 300Tampa, FL 33607-6383 · (813) 874-5707

Phone(813) 870-4000

Sole ProprietorNo

Enumeration DateMarch 22, 2007

Last NPPES UpdateJune 30, 2008

✔ NPI 1619094174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in FL · PA9104166✔ Licensed in CT · Q62542

3001 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607

Open in Google Maps ↗

Other Identifiers 3

Medicare PINAG532ZFL

Medicare UPINQ62542CT

Medicaid292912100FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Gwendolyn Bruch Michaelman P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

35 services35 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.19

Improvement Activities

Cost

52.94

Other Providers at the Same Location NPPES 20

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

MRS. KAYLA EDMONDS CAA

Anesthesiologist Assistant