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

Michelle J Van de Wall, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1376846337

Michelle J Van de Wall, APRN is a Nurse Practitioner in Sun City Center, Florida. Graduated from University of South Florida College of Medicine in 2010, 16 years ago. Practices with Optumcare Florida, LLC, a 267-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2010
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

781 Cypress Village Blvd
Sun City Center, FL 33573-6801
Phone: (727) 824-0780
Fax: (727) 568-6011
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN9165034 (FL)

Record details

NPI number1376846337
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 14, 2010
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address781 Cypress Village Blvd, Sun City Center, FL 33573-6801

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Optumcare Florida, Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sun City Center