Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE LYNN KORN D.O.
NPI 1619219102
Pediatrics - Pediatric Critical Care Medicine in Miami, FL

Active since March 22, 2013PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(816) 728-8235 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2026, Aug 5, 2021, Mar 10, 2021 and 1 more (4 updates tracked since 2020).

About Michelle Lynn Korn D.o. NPPES

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

MICHELLE LYNN KORN D.O. (NPI 1619219102) is an individual pediatric critical care medicine provider in Miami, Florida, licensed in New York (301433) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Evansville.

NPPES Registry Identity

NPI1619219102
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMICHELLE LYNN KORNCredential: D.O.
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address386 Larimore Valley DrWildwood, MO 63005-6226 · (816) 728-8235
Sole ProprietorNo
Enumeration DateMarch 22, 2013
Last NPPES UpdateSeptember 24, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1619219102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in NY · 301433✔ Licensed in IN · 02009234A
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 301433 (NY)
1611 NW 12TH AVE, Miami, FL 33136

Secondary Practice Location 1

Location 13900 Washington AveEvansville, IN 47714-0550 · Phone (812) 485-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Lynn Korn D.o. 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.

Medicare Billing Reassignments

2

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

Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group
General Acute Care Hospital
#4007 ESTATE DIAMOND RUBY
Christiansted, St. Croix, VI 00821
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 331 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.

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.

Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1611 NW 12TH AVE, PHARMACY ADM. OFFICES/EAST TOWER BASEMENT 069
MIAMI, FL 33136
Student in an Organized Health Care Education/Training Program
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Cardiology)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Anesthesiology
1611 NW 12TH AVE, CENTRAL 300
MIAMI, FL 33136
Pathology (Anatomic Pathology)
1611 NW 12TH AVE
MIAMI, FL 33136
Surgery
1611 NW 12TH AVE
MIAMI, FL 33136

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 Korn's NPI number?

The NPI number for Michelle Korn is 1619219102. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Michelle Korn located?

Michelle Korn practices at 1611 NW 12th Ave, Miami, FL 33136. The listed phone number is (816) 728-8235.

What is Michelle Korn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Michelle Korn enrolled in Medicare?

Yes. Michelle Korn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Korn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Korn reassigns Medicare benefits to 2 organizations: Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV) and Governor Juan F. Luis Hospital & Medical Center (Christiansted, St. Croix, VI). 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 Michelle Korn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Korn was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.