IndividualActive
Michelle Janicki, PA-C
NPI 1083973887 · Surgical Physician Assistant · Tampa, FL
Provider details
- NPI number
- 1083973887
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA9106533 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12880 Commodity Pl
Tampa, FL 33626-3101
Phone: (813) 343-5500
Fax: (813) 343-5506
Street-level locationGet directions
Mailing address
1905 Robinhill Ct
Tucker, GA 30084-7020
Registry dates
- Enumerated
- 2012-05-14
- Last updated
- 2012-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.