Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Michelle Davis

Individual provider Nurse Practitioner · NPI 1043972318

Angela Michelle Davis is a Nurse Practitioner in Port Saint Lucie, Florida. Qualified in 2021, 5 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1589 SE Belcrest St
Port Saint Lucie, FL 34952-7833
Phone: (772) 370-1655
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11015742 (FL)

Record details

NPI number1043972318
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2021
Last updated in NPPESOctober 13, 2021
Certification dateOctober 12, 2021
Mailing address1589 Se Belcrest St, Port Saint Lucie, FL 34952-7833

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Saint Lucie