Individual provider Active NPI

Michele Katharine Hurlbut, MS, RN, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1043677370
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704302858 Issued in MI
Practice address
5123 W St Joe Hwy Ste 205
Lansing, MI 48917-4028
Phone
(517) 492-0611
Fax
(517) 492-0699
NPI assigned
Jan 18, 2016
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704302858 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704302858 MI Primary
Registered Nurse 163W00000X 4704302858 MI

Addresses

Primary practice location

5123 W St Joe Hwy Ste 205
Lansing, MI 48917-4028

Mailing address

5123 W St Joe Hwy Ste 205
Lansing, MI 48917-4028
Phone (517) 492-0611

Other names 1

  • Ms. Michele Katharine Hurlbut Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160527001940 MI Practitioner - Nurse Practitioner 9133419492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

5123 W St Joe Hwy
Suite 205
Lansing, MI 48917-4028
Phone (517) 492-0611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704302858MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Psychiatry of Michigan PLLC CurrentSince Oct 21, 2024 Accepting new patients
Pure Psychiatry of Michigan PLLC Past Accepting new patients

Locations

39600 Garfield Rd
Ste F
Clinton Twp, MI 48038
Phone (586) 307-6566

5123 W St Joe Hwy
Ste 205
Lansing, MI 48917
Phone (517) 327-0360

2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

Interoperability endpoints

  • Direct secure messaging: purepsychiatrymichigan.michelehurlbut@153418.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1043677370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 W ST JOE HWY STE 205",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174028",
            "telephone_number": "517-492-0611",
            "fax_number": "517-492-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 W ST JOE HWY STE 205",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174028",
            "telephone_number": "517-492-0611",
            "fax_number": "517-492-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBUT",
        "first_name": "MICHELE",
        "middle_name": "KATHARINE",
        "name_prefix": "Ms.",
        "credential": "MS, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704302858",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704302858",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704302858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "HURLBUT",
            "middle_name": "KATHARINE",
            "prefix": "MS.",
            "credential": "PMHNP-BC FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.