Individual provider Active NPI

Michelle Sheehan, APRN

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1053742098
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2290040 Issued in MA
Practice address
3640 Main St Ste 208
Springfield, MA 01107-1192
Phone
(413) 253-2767
Fax
(413) 253-9767
NPI assigned
Dec 2, 2013
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 RN2290040 MA Primary

Addresses

Primary practice location

3640 Main St Ste 208
Springfield, MA 01107-1192

Mailing address

3640 Main St Ste 208
Springfield, MA 01107-1192
Phone (413) 253-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140717001766 MA Practitioner - Nurse Practitioner 0446476014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3640 Main St
Suite 208
Springfield, MA 01107-1192
Phone (413) 253-2767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2290040MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Medicine Services of Western Massachusetts LLC CurrentSince Jul 7, 2023 Accepting new patients
Sleep Medicine Services of Western Massachusetts LLC CurrentSince Jul 7, 2023 Accepting new patients

Locations

3640 Main St
Ste 208
Springfield, MA 01107
Phone (413) 253-2767

Interoperability endpoints

  • Direct secure messaging: michellesheehan@smswm.medentdirect.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": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1053742098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST STE 208",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071192",
            "telephone_number": "413-253-2767",
            "fax_number": "413-253-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MAIN ST STE 208",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071192",
            "telephone_number": "413-253-2767",
            "fax_number": "413-253-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2024-06-18",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2290040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.