Individual provider Active NPI

Michele L Tanz, FNP

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1013222983
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2010028011 Issued in MO
Practice address
1723 Broadway St
Suite 220
Cape Girardeau, MO 63701-4566
Phone
(573) 331-7910
Fax
(573) 331-7919
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2010028011 MO Primary

Addresses

Primary practice location

1723 Broadway St
Suite 220
Cape Girardeau, MO 63701-4566

Mailing address

1723 Broadway St
Suite 220
Cape Girardeau, MO 63701-4566
Phone (573) 331-7910

Other identifiers 1

IdentifierTypeStateIssuer
2010028011OtherMOMO LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100928000387 MO Practitioner - Nurse Practitioner 2466578463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

24 S Mt Auburn Rd
Cape Pulmonology and Sleep Medicine
Cape Girardeau, MO 63703-4914
Phone (573) 331-5544

Hospital & facility affiliations

  • Saint Francis Medical Center Hospital, Cape Girardeau, MO, CCN 260183
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010028011MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Delta Medical Center CurrentSince May 1, 2024 Accepting new patients
Saint Francis Medical Center CurrentSince Nov 4, 2024 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Missouri Delta Medical Center CurrentSince May 1, 2024 Accepting new patients
Saint Francis Medical Center CurrentSince Nov 4, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3120 Independence St
Cape Girardeau, MO 63703
Phone (573) 240-8846

28 S Mount Auburn Rd
Cape Girardeau, MO 63703
Phone (573) 331-3350

1702 N Kingshighway St
Cpe Girardeau, MO 63701
Phone (573) 339-0483

24 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 331-5544

23 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 332-0700

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

545 Broadridge Dr
Jackson, MO 63755
Phone (573) 243-1997

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

Interoperability endpoints

  • Direct secure messaging: mtanz16666@surescripts.sfmc.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1013222983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 BROADWAY ST",
            "address_2": "SUITE 220",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014566",
            "telephone_number": "573-331-7910",
            "fax_number": "573-331-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 BROADWAY ST",
            "address_2": "SUITE 220",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014566",
            "telephone_number": "573-331-7910",
            "fax_number": "573-331-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANZ",
        "first_name": "MICHELE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010028011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE",
            "identifier": "2010028011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.