MICHELLE R MOTTERN (APRN) – Addiction Medicine (Psychiatry & Neurology) Physician, NPI 1023668092
Addiction Medicine (Psychiatry & Neurology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MICHELLE R MOTTERN (APRN)
7225 N NEBRASKA AVE
TAMPA, FL 336044916
Phone: (813) 236-1182
Type: Location
Hillsborough County Sheriff's Office Jail Division II, 520, North Falkenburg Road, Hillsborough County, Florida, 33610, United States
TAMPA, FL 336197884
Phone: (813) 247-8300
Type: Location
7225 N Nebraska Ave
Tampa, FL 336044916
Phone: (813) 236-1182
Type: Location
106, Gregory Circle, Auburndale, Polk County, Florida, 33823, United States
AUBURNDALE, FL 338232320
Phone: (863) 255-6449
Type: Mailing
600 1ST AVE N STE 307A
SAINT PETERSBURG, FL 337013609
Phone: (863) 348-8333
Fax: (949) 222-6517
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $344.
Total Amount is formed as General ($344) + Research ($0) + Ownership ($0) = $344.
Last reported payment date: 2023-05-16 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($125).
Total Amount
$344
General + Research + Ownership
Payments
3
Total payment records
General Amount
$344
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $125 |
| IDORSIA PHARMACEUTICALS US INC | $111 |
| ABBVIE INC. | $108 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-10-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221013003667 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MT | |
| Clinical Psychologist | LA | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Certified Nurse Midwife (Cnm) | FL | |
| Clinical Social Worker | MN |
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