Active NPI
Michael Eugene Fletcher, MD
- Interventional Pain Medicine Physician
- Florence, KY
National Provider Identifier
1063476216
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.
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 31154
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2838808 | Medicaid | OH | |
| 64311541 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.092370 | OH | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hansen Pain and Wellness | Current | 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.
-
- Pain Medicine Physician
- Crestview Hills, KY
- NPI 1235975749
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.