DR. MICHELLE HENNE (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1487091393

DR. MICHELLE HENNE (M.D.) is a healthcare provider. based in Winter haven, Florida. specializing in SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME121120 (FL). The NPI Number for DR. MICHELLE HENNE (M.D.) is 1487091393

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE HENNE (M.D.)
NPI
1487091393
Phone
(863) 401-4401
Address
5535 CYPRESS GARDENS BLVD STE 270
Enumeration Date
31 May 2013
Last Update Date
23 February 2018

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8634014401
Graduation Year
2013 (13 years ago)
PAC ID
5092010892
Group Practice PAC ID
3072885433
Professional Enrollment ID
I20170818002384
Address ID
FL338803051WI475XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

419 SPORTS MEDICINE in FL

Provider Addresses for DR. MICHELLE HENNE (M.D.)

  • 5535 CYPRESS GARDENS BLVD STE 270

    WINTER HAVEN, FL 338842241

    Phone: (863) 401-4401

    Fax: (866) 824-2717

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,292.

Total Amount is formed as General ($2,292) + Research ($0) + Ownership ($0) = $2,292.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: DJO, LLC ($2,158).

Total Amount

$2,292

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-08-18

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
I20170818002384ISports MedicineFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11663$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg8012$0
99213Established patient office or other outpatient visit, 20-29 minutes7942$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6813$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance6530$0
View full utilization report →

Insurance plans in this area (ZIP 33884)

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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: 3072885433View full group profile
NameSpecialtyState
Sports MedicineFL

Reviews

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Frequently asked questions

What is DR. MICHELLE HENNE (M.D.)'s NPI number?
DR. MICHELLE HENNE (M.D.)'s NPI is 1487091393 — the number used across U.S. healthcare to identify this provider.
Is DR. MICHELLE HENNE (M.D.) still an active registrant?
DR. MICHELLE HENNE (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. MICHELLE HENNE (M.D.)'s focus?
For DR. MICHELLE HENNE (M.D.), the primary taxonomy reads as Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MICHELLE HENNE (M.D.)?
Travel planning: use Winter Haven, Florida as the reference point for DR. MICHELLE HENNE (M.D.), then confirm.
Can I trust this NPI listing for DR. MICHELLE HENNE (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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