MICHELE L. BANNISTER APRN, FNP-BC
NPI 1669000105
Nurse Practitioner - Family in Orange Park, FL
About Michele L. Bannister Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELE L. BANNISTER APRN, FNP-BC (NPI 1669000105) is an individual family provider in Orange Park, Florida, licensed in Florida (11015678) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Michele L. Bannister Aprn, 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 Michele Bannister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Augustine, FL 32080
- Reassigned Medicare billing, Florida enrollment
- 3 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 5
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.
Flagler Hospital
Acute Care Hospitals · Saint Augustine, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michele Bannister's NPI number?
The NPI number for Michele Bannister is 1669000105. It was assigned to this individual provider in the NPPES registry on March 30, 2020.
Where is Michele Bannister located?
Michele Bannister practices at 930 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 269-0500.
What is Michele Bannister's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michele Bannister enrolled in Medicare?
Yes. Michele Bannister 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 Michele Bannister's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michele Bannister reassigns Medicare benefits to James M Grimes Orthopaedics LLC (St Augustine, 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 Michele Bannister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michele Bannister accept?
Health plans from Ambetter Health, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Michele Bannister 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.
Is Michele Bannister affiliated with any hospitals?
According to CMS data, Michele Bannister is affiliated with Flagler Hospital.
When was this NPI record last updated?
The NPPES record for Michele Bannister was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Michele L. Bannister, APRN, FNP-BC · NPI 1669000105
Family physician in Orange Park, Florida. Individual provider, active in the CMS NPPES registry since March 30, 2020.
## Identity
- **NPI:** 1669000105 (Entity type: Individual)
- **Enumerated:** March 30, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11015678 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 930 KINGSLEY AVE, Orange Park, FL 32073-4704
- **Phone:** (904) 269-0500
## 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:** James M Grimes Orthopaedics LLC (NPI 1598424699, St Augustine, 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:** November 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1669000105) · Data from the CMS NPPES public registry.