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

Michele L. Bannister, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1669000105

Michele L. Bannister, APRN, FNP-BC is a Nurse Practitioner in Orange Park, Florida. Qualified in 2021, 5 years ago. Practices with James M Grimes Orthopaedics LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

930 Kingsley Ave
Orange Park, FL 32073-4704
Phone: (904) 269-0500
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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 11015678 (FL)

Record details

NPI number1669000105
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-BC
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021

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 James M Grimes Orthopaedics Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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