Michelle D Cook Becker, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1900 Issued in TN

Practice address

353 New Shackle Island Rd Ste 300C
Hendersonville, TN 37075-2384

Phone

(616) 515-1900

Fax

(615) 292-4633

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Hendersonville Medical Center Hospital, Hendersonville, TN, CCN 440194

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Centennial Heart LLC

  • Specialist
  • Nashville, TN
  • NPI 1245393057

  TN

  Medicare reassignment Care Compare group
• Saint Thomas Medical Partners

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669

  TN

  Medicare reassignment NPD
• Saint Thomas Medical Partners

  • Gynecology Physician
  • Franklin, TN
  • NPI 1164679411
  NPD
• Tristar Tennessee Heart and Vascular LLC

  • Cardiovascular Disease Physician
  • Hendersonville, TN
  • NPI 1114708906
  NPD (past)
• Cranley Surgical Associates Inc

  • Surgery Physician
  • Cincinnati, OH
  • NPI 1376518845
  NPD (past)
• Northern Kentucky General & Vascular Surgeons

  • Surgery Physician
  • Cold Spring, KY
  • NPI 1598878035
  NPD (past)

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

• Hendersonville Hospital Corporation

  • General Acute Care Hospital
  • Hendersonville, TN
  • NPI 1538114434

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1023052271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 502",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036511",
            "telephone_number": "615-515-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 300C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752384",
            "telephone_number": "616-515-1900",
            "fax_number": "615-292-4633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Patterson St Ste 502",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372036511",
            "country_code": "US",
            "telephone_number": "615-515-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK BECKER",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-01-04",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA501",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "501",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531508",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01161026",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4344466",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.cookbecker@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Patterson St Ste 502",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372036511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Conger
• Sandra Kathleen Conley
• Mary Catherine Conlon, DMD
• Maryella Jane Conlon, DPT
• Amy Otterpohl Connor, DDS
• Amanda Beth Cook, LPTA
• Anna Cook, MA, LPC-TEMP
• Charitie Cook
• Jaden Cooley, RBT
• Karen Michelle Coop, PH.D.

• All providers in Hendersonville, TN
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.

Verify at the official NPI Registry.