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MICHELLE CRISOSTOMO CANTRELL RN
NPI 1659252518
Nurse Practitioner in Lynn Haven, FL

Active since September 09, 2025PECOS EnrolledAccepts Medicare Assignment
1621 TENNESSEE AVE STE 300, LYNN HAVEN, FL 32444(850) 872-0774 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle Crisostomo Cantrell Rn NPPES

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

MICHELLE CRISOSTOMO CANTRELL RN (NPI 1659252518) is an individual nurse practitioner in Lynn Haven, Florida, licensed in Florida (APRN11042311) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659252518
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE CRISOSTOMO CANTRELLCredential: RN
Location Address1621 TENNESSEE AVE STE 300Lynn Haven, FL 32444-3604
Mailing Address1104 Discovery Loop NPanama City, FL 32405-2955 · (904) 910-1260
Phone(850) 872-0774
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 9, 2025
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1659252518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11042311
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9654754 (FL)
1621 TENNESSEE AVE STE 300, Lynn Haven, FL 32444
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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

Michelle Crisostomo Cantrell Rn 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 ID6901370402
PECOS Enrollment IDI20260707000556
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 Reassignment

Medicare enrollment records show Michelle Cantrell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Woodham Family Medical, LLC
Same address
Family
1621 TENNESSEE AVE
Lynn Haven, FL 32444
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1740665371 (850) 872-0774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32444 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.

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 Cantrell's NPI number?

The NPI number for Michelle Cantrell is 1659252518. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Michelle Cantrell located?

Michelle Cantrell practices at 1621 Tennessee Ave Ste 300, Lynn Haven, FL 32444. The listed phone number is (850) 872-0774.

What is Michelle Cantrell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Cantrell enrolled in Medicare?

Yes. Michelle Cantrell 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 Michelle Cantrell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Cantrell reassigns Medicare benefits to Woodham Family Medical, LLC (Lynn Haven, 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 Michelle Cantrell'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 Cantrell was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.