MICHELE ST MARTIN HARGREAVES (MD) – Otolaryngology Physician, NPI 1457326472

MICHELE ST MARTIN HARGREAVES (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in Otolaryngology Physician. They hold the professional credentials MD. They hold a License No. MD425320 (PA). The NPI Number for MICHELE ST MARTIN HARGREAVES (MD) is 1457326472

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE ST MARTIN HARGREAVES (MD)
NPI
1457326472
Phone
(904) 396-1725
Address
11945 SAN JOSE BLVD
Enumeration Date
22 February 2006
Last Update Date
7 November 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
9048800911
Graduation Year
1998 (28 years ago)
PAC ID
8628014438
Group Practice PAC ID
2769381391
Professional Enrollment ID
I20070907000401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for MICHELE ST MARTIN HARGREAVES (MD)

  • San Jose Boulevard, San Jose, Jacksonville, Duval County, Florida, 32217, United States

    SUITE 300

    JACKSONVILLE, FL 322231613

    Phone: (904) 396-1725

    Fax: (904) 399-1717

    Type: Mailing

  • 4203, Belfort Road, Jacksonville, Duval County, Florida, 32216, United States

    STE 340

    JACKSONVILLE, FL 322161409

    Phone: (904) 880-0911

    Fax: (904) 880-9388

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-09-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070907000401IOtolaryngologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 32223)

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Provider's Procedures

MICHELE ST MARTIN HARGREAVES (MD) performs procedures in Otolaryngology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYFL92540Observation, testing, and recording of abnormal eye movement2727

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769381391View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YPA
Otolaryngology, General SurgeryFL
O T O L A R Y N G O L O G YKY
General Surgery, Critical Care (Intensivists)FL
Orthopedic SurgeryFL
Otolaryngology, Sleep MedicineFL
General SurgeryFL
General SurgeryFL
O P H T H A L M O L O G YFL
Pain ManagementFL

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Frequently asked questions

What NPI should I save for MICHELE ST MARTIN HARGREAVES (MD)?
Save NPI 1457326472 if you need a stable reference for MICHELE ST MARTIN HARGREAVES (MD).
Is MICHELE ST MARTIN HARGREAVES (MD) currently active in the NPI registry?
CMS-published data lists MICHELE ST MARTIN HARGREAVES (MD) as an active registrant.
Does MICHELE ST MARTIN HARGREAVES (MD) list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for MICHELE ST MARTIN HARGREAVES (MD). Clinical services aligned with this taxonomy classification.
Where does public data place MICHELE ST MARTIN HARGREAVES (MD)?
The snapshot lists Jacksonville, Florida for MICHELE ST MARTIN HARGREAVES (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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