MRS. MICHELLE DIANE NICELY P.A.- C.
NPI 1972662922
Physician Assistant - Medical in Tampa, FL

Active since December 06, 2006
3301 W GANDY BLVD, TAMPA, FL 33611(813) 925-1903(813) 749-8370 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Michelle Diane Nicely P.a.- C. NPPES

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

MRS. MICHELLE DIANE NICELY P.A.- C. (NPI 1972662922) is an individual medical provider in Tampa, Florida, licensed in Florida (PA9100658) and active in the NPI registry since December 2006. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972662922
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MICHELLE DIANE NICELYCredential: P.A.- C.
Location Address3301 W GANDY BLVDTampa, FL 33611-2931
Mailing Address5618 Osprey Park PlLithia, FL 33547-3814 · (813) 684-0300
Fax(813) 749-8370
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
NPI 1972662922 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 FL · PA9100658
3301 W GANDY BLVD, Tampa, FL 33611

Secondary Practice Locations 2

Location 1535 NE 6th AveEstacada, OR 97023-9312 · Phone (971) 373-4165
Location 224461 E Welches RdWelches, OR 97067-7067 · Phone (971) 373-4165

Other Identifiers 1

Medicaid000564500CA

Accepted Insurance

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.

Physician Assistant
3301 W GANDY BLVD
TAMPA, FL 33611
Physician Assistant
3301 W GANDY BLVD
TAMPA, FL 33611
Clinic/Center (Urgent Care)
3301 W GANDY BLVD
TAMPA, FL 33611
Nurse Practitioner (Family)
3301 W GANDY BLVD
TAMPA, FL 33611
Physician Assistant
3301 W GANDY BLVD
TAMPA, FL 33611
Nurse Practitioner
3301 W GANDY BLVD
TAMPA, FL 33611
Family Medicine
3301 W GANDY BLVD
TAMPA, FL 33611
Physician Assistant
3301 W GANDY BLVD
TAMPA, FL 33611

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 Nicely's NPI number?

The NPI number for Michelle Nicely is 1972662922. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Michelle Nicely located?

Michelle Nicely practices at 3301 W Gandy Blvd, Tampa, FL 33611. The listed phone number is (813) 925-1903.

What is Michelle Nicely's specialty?

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

What insurance does Michelle Nicely accept?

Health plans from Oscar Health Maintenance Organization of Florida list Michelle Nicely 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.

When was this NPI record last updated?

The NPPES record for Michelle Nicely was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.