Individual provider Active NPI

Michael Eugene Fletcher, MD

  • Interventional Pain Medicine Physician
  • Florence, KY
National Provider Identifier
1063476216
Registry record updated Feb 7, 2022
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Nov 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
31154 Issued in KY
Practice address
8780 US Highway 42 Ste E
Florence, KY 41042-6936
Phone
(859) 495-7246
Fax
(859) 292-0131
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X 31154 KY
Addiction Medicine (Family Medicine) Physician 207QA0401X 31154 KY
Addiction Medicine (Family Medicine) Physician 207QA0401X 35.092370 OH
Interventional Pain Medicine Physician 208VP0014X 31154 KY Primary

Addresses

Primary practice location

8780 US Highway 42 Ste E
Florence, KY 41042-6936

Mailing address

8780 US Highway 42 Ste E
Florence, KY 41042-6936
Phone (859) 495-7246

Other identifiers 2

IdentifierTypeStateIssuer
2838808MedicaidOH
64311541MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Florence

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.092370OHMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hansen Pain and Wellness CurrentSince Jul 7, 2024 Accepting new patients

Locations

340 Thomas More Pkwy
Ste 260
Crestview Hills, KY 41017
Phone (859) 957-0700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1063476216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 US HIGHWAY 42 STE E",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410426936",
            "telephone_number": "859-495-7246",
            "fax_number": "859-292-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 US HIGHWAY 42 STE E",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410426936",
            "telephone_number": "859-495-7246",
            "fax_number": "859-292-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-02-07",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "KY",
            "license": "31154",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "KY",
            "license": "31154",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.092370",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "KY",
            "license": "31154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2838808",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64311541",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Florence",
            "affiliation": "N",
            "address_1": "8780 US Highway 42 Ste A",
            "city": "Florence",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410426938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.