MICHAEL S MCNULTY PA
NPI 1811960099
Physician Assistant - Medical in Land O Lakes, FL

Active since February 09, 2006PECOS Enrolled
22928 EAGLES WATCH DR, LAND O LAKES, FL 34639(813) 929-0733(813) 903-4812 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael S Mcnulty Pa NPPES

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

MICHAEL S MCNULTY PA (NPI 1811960099) is an individual medical provider in Land O Lakes, Florida, licensed in Pennsylvania (MA0011803L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811960099
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL S MCNULTYCredential: PA
Location Address22928 EAGLES WATCH DRLand O Lakes, FL 34639-4787
Mailing Address22928 Eagles Watch DrLand O Lakes, FL 34639-4787 · (813) 929-0733 · Fax (813) 903-4812
Fax(813) 903-4812
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateFebruary 24, 2016
NPI 1811960099 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
License Licensed in PA · MA0011803L
22928 EAGLES WATCH DR, Land O Lakes, FL 34639

Other Identifiers 1

OtherMA0011803LPA · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael S Mcnulty Pa 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.

Other Providers at the Same Location NPPES

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

Nurse's Aide
22928 EAGLES WATCH DR
LAND O LAKES, FL 34639

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 Michael Mcnulty's NPI number?

The NPI number for Michael Mcnulty is 1811960099. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Michael Mcnulty located?

Michael Mcnulty practices at 22928 Eagles Watch Dr, Land O Lakes, FL 34639. The listed phone number is (813) 929-0733.

What is Michael Mcnulty's specialty?

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

Is Michael Mcnulty enrolled in Medicare?

Yes. Michael Mcnulty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Mcnulty was last updated on February 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.