Individual provider Active NPI

Michael Christensen, ACNP

  • Acute Care Nurse Practitioner
  • Murray, UT
National Provider Identifier
1003162215
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
8339822-4405 Issued in UT
Practice address
5802 S 900 E Unit 1
Murray, UT 84121-1644
Phone
(480) 868-9650
NPI assigned
Jul 25, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP4660 AZ
Acute Care Nurse Practitioner 363LA2100X 8339822-4405 UT Primary

Addresses

Primary practice location

5802 S 900 E Unit 1
Murray, UT 84121-1644

Mailing address

5802 S 900 E Unit 1
Murray, UT 84121-1644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171127000002 NC Practitioner - Nurse Practitioner 8527210020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc CurrentSince Nov 1, 2017 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Moses Cone Physician Services, Inc. Nurse Practitioner Current Accepting new patients
Banner Pharmacy Services LLC Past Accepting new patients
Methodist Health, Inc. Nurse Practitioner Past Accepting new patients
Banner-University Medical Group Past Accepting new patients
T J Samson Community Hospital Past Accepting new patients

Locations

1200 N Elm St
#5
Greensboro, NC 27401
Phone (336) 832-5777

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

Interoperability endpoints

  • Direct secure messaging: michael.christensen@371240051802116.direct.elationemr.com
  • Direct secure messaging: michael.christensen@57560418353156.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1003162215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 S 900 E UNIT 1",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 S 900 E UNIT 1",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841211644",
            "telephone_number": "480-868-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "MICHAEL",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-25",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP4660",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "UT",
            "license": "8339822-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.