Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Michelle M Miceli

Individual provider Family Nurse Practitioner · NPI 1679821862

Michelle M Miceli is a Nurse Practitioner in Providence, Rhode Island. Qualified in 2010, 16 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
16
Licensed in
RI
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

593 Eddy Street Apc 4
Providence, RI 02903
Phone: (401) 444-4700
Fax: (401) 444-6681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN01266 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN01266 (RI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NPP37705 (RI)

Record details

NPI number1679821862
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 21, 2012
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients54
Services billed 65 a service is one billed item, such as a visit, a test or a procedure
Average patient age79

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Rhode Island Hospital Hospital · Providence, RI

Colleagues at Lifespan Physician Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1125 clinicians in the practice; 12 are shown here.

Other providers in Providence