Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

593 Eddy Street Apc 4
Providence, RI 02903
Phone: (401) 444-4700
Fax: (401) 444-6681
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 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

Other providers in Providence