Individual provider Active NPI

Michelle McIntyre

  • Nurse Practitioner
  • Hermiston, OR
National Provider Identifier
1013337211
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201403682NP-PP Issued in OR
Practice address
620 NW 11TH St Ste M103
Hermiston, OR 97838-6941
Phone
(541) 667-3797
Fax
(541) 303-8767
NPI assigned
Apr 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201403682NP-PP OR Primary
Family Nurse Practitioner 363LF0000X 200742439RN OR

Addresses

Primary practice location

620 NW 11TH St Ste M103
Hermiston, OR 97838-6941

Mailing address

620 NW 11TH St Ste M103
Hermiston, OR 97838-6941
Phone (541) 667-3797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20141216002593 OR Practitioner - Nurse Practitioner 3971826330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians

Practice addresses (Care Compare)

600 NW 11TH St
Suite E37
Hermiston, OR 97838-8604
Phone (541) 667-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201403682NP-PPORMDNurse Practitioner
200742439RNORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Aug 30, 2014 Accepting new patients
Good Shepherd Health Care System CurrentSince Aug 30, 2014 Accepting new patients

Locations

620 NW 11th St
Ste M201
Hermiston, OR 97838

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

620 NW 11th St
Ste M103
Hermiston, OR 97838
Phone (541) 667-3830

Interoperability endpoints

  • Direct secure messaging: mmcintyre108060@direct.lhs.org

Organizations & group practices 2

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 2

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": "1398556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1013337211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M103",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-667-3797",
            "fax_number": "541-303-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M103",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-667-3797",
            "fax_number": "541-303-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-27",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201403682NP-PP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200742439RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.