MICHELLE PATRICIA GILLESPIE (D.O.) – Internal Medicine Physician, NPI 1518190503

MICHELLE PATRICIA GILLESPIE (D.O.) is a healthcare provider. based in Fort walton beach, Florida. specializing in Internal Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS11356 (FL). The NPI Number for MICHELLE PATRICIA GILLESPIE (D.O.) is 1518190503

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE PATRICIA GILLESPIE (D.O.)
NPI
1518190503
Phone
(954) 232-6754
Address
124 MIRACLE STRIP PKWY SW
Enumeration Date
25 August 2009
Last Update Date
27 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3527261551
Graduation Year
2009 (17 years ago)
PAC ID
9739344250
Group Practice PAC ID
4082932058
Professional Enrollment ID
I20120709000524
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for MICHELLE PATRICIA GILLESPIE (D.O.)

  • Miracle Strip Pkwy Southwest, Fort Walton Beach, Okaloosa County, Florida, 32548, United States

    UNIT 1203

    FORT WALTON BEACH, FL 325486650

    Phone: (954) 232-6754

    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)

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: 2015-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20120709000524IInternal MedicineFLTBD
I20150716003242IInternal MedicineALTBD

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
99285Emergency department visit with high level of medical decision making3939$0
99284Emergency department visit with moderate level of medical decision making3030$0
View full utilization report →

Insurance plans in this area (ZIP 32548)

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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: 4082932058View full group profile

Reviews

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Frequently asked questions

Can I verify MICHELLE PATRICIA GILLESPIE (D.O.) with an NPI only?
You can start verification with NPI 1518190503 for MICHELLE PATRICIA GILLESPIE (D.O.), then check state licensing separately.
Does CMS list MICHELLE PATRICIA GILLESPIE (D.O.) as active?
Yes — MICHELLE PATRICIA GILLESPIE (D.O.) is active in the NPI listing used on this page.
What taxonomy line describes MICHELLE PATRICIA GILLESPIE (D.O.)?
For research purposes, treat MICHELLE PATRICIA GILLESPIE (D.O.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does MICHELLE PATRICIA GILLESPIE (D.O.) serve?
MICHELLE PATRICIA GILLESPIE (D.O.)'s listing highlights Fort Walton Beach, Florida; more addresses can appear in NPPES.
Why does MICHELLE PATRICIA GILLESPIE (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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