Individual provider Active NPI

Michelle Fletcher, NP-C

  • Family Nurse Practitioner
  • Kingman, AZ
National Provider Identifier
1033729454
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
245664 Issued in AZ
Practice address
2226 Hualapai Mountain Rd Ste 100
Kingman, AZ 86401-8374
Phone
(928) 681-8530
Fax
(928) 681-8714
NPI assigned
Aug 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 245664 AZ Primary

Addresses

Primary practice location

2226 Hualapai Mountain Rd Ste 100
Kingman, AZ 86401-8374

Mailing address

2226 Hualapai Mountain Rd Ste 100
Kingman, AZ 86401-8374
Phone (928) 681-8530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210203002823 AZ Practitioner - Nurse Practitioner 2668886581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Practice addresses (Care Compare)

2226 Hualapai Mountain Rd
Suite 101
Kingman, AZ 86401-8374
Phone (928) 681-8703

Hospital & facility affiliations

  • Kingman Regional Medical Center Home Health Home health agency, Kingman, AZ, CCN 037050
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245664AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vanhorn Healthcare PLLC CurrentSince Apr 18, 2024 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 1, 2024 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Vanhorn Healthcare 2 LLC CurrentSince Dec 8, 2023 Accepting new patients
Kingman Healthcare, Inc CurrentSince Oct 1, 2024 Accepting new patients
Kingman Healthcare, Inc Family Past Accepting new patients

Locations

2580 Highway 95
Ste 201
Bullhead City, AZ 86442
Phone (928) 201-1189

2226 Hualapai Mountain Rd
Ste 100
Kingman, AZ 86401
Phone (928) 681-8530

2403 N Stockton Hill Rd
Ste 12
Kingman, AZ 86401
Phone (928) 201-1189

2226 Hualapai Mountain Rd
Kingman, AZ 86401
Phone (928) 681-8530

3801 Santa Rosa Dr
Ste 400
Kingman, AZ 86401
Phone (928) 681-8530

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

2226 Hualapai Mountain Rd
Ste 101
Kingman, AZ 86401
Phone (928) 681-8530

Interoperability endpoints

  • Direct secure messaging: fletcher.michelle@direct.azkrmc.md

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 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": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1033729454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 HUALAPAI MOUNTAIN RD STE 100",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018374",
            "telephone_number": "928-681-8530",
            "fax_number": "928-681-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 HUALAPAI MOUNTAIN RD STE 100",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018374",
            "telephone_number": "928-681-8530",
            "fax_number": "928-681-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-01",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "245664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.