Michelle Hundley, MD
Individual provider Active NPI Family Medicine Physician · Paonia, CO
NPI 1043435514 · NPPES record last updated Jul 22, 2015
Key facts
- NPI
- 1043435514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 47028 (CO)
- Practice address
- 225 Minnesota Ave
Paonia, CO 81428-0047 - Phone
- (970) 527-4103
- Fax
- (970) 527-5171
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250731004059 | CO | Order and Referring Only - General Practice |
4789783523 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47028 | CO | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 47028 | CO | Yes |
Addresses
Primary practice location
225 Minnesota Ave
Paonia, CO 81428-0047
Mailing address
PO Box 47
Paonia, CO 81428-0047
Phone (970) 527-4103
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96654015 | Medicaid | CO |
Other providers in Paonia, CO
- Brad Thomas Hanel
- Erin Kathleen Hilleary
- Greg Hottinger
- HP Grand Mesa, Inc.
- William Huey
- Leigh Jacobs
- Jessie Melison Psychotherapy LLC
- Kairos LLC Dba Paonia Physical Therapy
- Patricia Kazimier
- Danielle R Kemper
All providers in Paonia, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.