Active NPI
Michele L Tanz, FNP
- Family Nurse Practitioner
- Cape Girardeau, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2010028011
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010028011 | Other | MO | MO 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
Enrollment records 1
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
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
- Mercy Hospital Southeast
- Missouri Delta Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010028011 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Saint Francis Medical Center | Current | 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
- 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.
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
-
- Clinic/Center
- Jackson, MO
- NPI 1992502975
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.