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

Individual provider Family Nurse Practitioner · NPI 1306681390

Micaela Elizabeth Miceli, FNP is a Nurse Practitioner in Endwell, New York. Qualified in 2024, 2 years ago. Practices with Endwell Family Physicians LLP, a 26-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

415 Hooper Rd
Endwell, NY 13760-3698
Phone: (607) 754-3863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354367 (NY)

Record details

NPI number1306681390
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 1, 2024
Last updated in NPPESAugust 24, 2024
Certification dateAugust 24, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Endwell Family Physicians Llp — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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