MR. MIKE MAURICE SUPPLICE ARNP
NPI 1689000101
Anesthesiology - Critical Care Medicine in Tallahassee, FL

Q: What is Mike Supplice's NPI number?

The NPI number for Mike Supplice is 1689000101. It was assigned to this individual provider in the NPPES registry on September 16, 2013.

Q: What is Mike Supplice's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Q: When was this NPI record last updated?

The NPPES record for Mike Supplice was last updated on November 10, 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.

Active since September 16, 2013PECOS Enrolled

2009 MICCOSUKEE RD, TALLAHASSEE, FL 32308(850) 942-2299(850) 942-0322 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Mike Maurice Supplice Arnp NPPES

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

MR. MIKE MAURICE SUPPLICE ARNP (NPI 1689000101) is an individual critical care medicine provider in Tallahassee, Florida, licensed in Georgia (RN210166) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689000101

Entity TypeIndividualMale

Primary Taxonomy207LC0200X

Provider Legal NameMR. MIKE MAURICE SUPPLICECredential: ARNP

Location Address2009 MICCOSUKEE RDTallahassee, FL 32308-5359

Mailing Address2009 Miccosukee RdTallahassee, FL 32308-5359 · (850) 942-2299 · Fax (850) 942-0322

Phone(850) 942-2299

Fax(850) 942-0322

Sole ProprietorNo

Enumeration DateSeptember 16, 2013

Last NPPES UpdateNovember 10, 2022

NPPES CertifiedNovember 10, 2022

✔ NPI 1689000101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LC0200X

License✔ Licensed in GA · RN210166

Definition

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9290091 (FL)

2009 MICCOSUKEE RD, Tallahassee, FL 32308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mike Maurice Supplice Arnp 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

Medicare enrollment records show Mike Supplice reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deerfield Beach Physician Services, LLC

1.4 mi

Internal Medicine

2626 CAPITAL MEDICAL BLVD
Tallahassee, FL 32308

Reassigned Medicare billing, Florida enrollment
85 clinicians in this Medicare group

NPI 1366100364 (850) 325-5000

Wellstar Medical Group, LLC

221 mi

Internal Medicine

3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1205267192 (404) 344-0059

Paragon Emergency Services LLC

226 mi

Emergency Medicine

200 AVENUE F NE
Winter Haven, FL 33881

Reassigned Medicare billing, Florida enrollment
1,065 clinicians in this Medicare group

NPI 1912101650 (863) 293-1121

Emory Medical Care Foundation Inc

227 mi

Physical Medicine & Rehabilitation

80 JESSE HILL JR DR SE
Atlanta, GA 30303

Reassigned Medicare billing, Georgia enrollment
2,681 clinicians in this Medicare group

NPI 1063678563 (404) 778-5014

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

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

43%87 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

RACHEL CHRISTINA BUSBY-DREWEK

Nurse Practitioner (Family)