Individual provider Active NPI

Michael Winsten, D.O.

  • Psychiatry Physician
  • Holloman Afb, NM
National Provider Identifier
1063608925
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18984 Issued in CA
Practice address
200 First St
BLDG 17
Holloman Afb, NM 88310
Phone
(505) 572-5676
NPI assigned
Sep 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 103195 NM
Psychiatry Physician 2084P0800X 18984 CA Primary

Addresses

Primary practice location

200 First St
BLDG 17
Holloman Afb, NM 88310

Mailing address

8987 E Tanque Verde Rd
309-199
Tucson, AZ 85749-9610
Phone (505) 572-5676

Other practice location 1

1360 N Main St Ste 124
Bishop, CA 93514-3013
Phone (760) 872-2590

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005000224 MI Practitioner - Psychiatry 6204125172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4955 S M 88 Hwy
Bellaire, MI 49615-9082
Phone (231) 533-8649

601 Bridge St
East Jordan, MI 49727-9383

601 Bridge St
East Jordan, MI 49727-9421
Phone 2315362206168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
18984CAMDClinical Psychologist
103195NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Jordan Family Health Center CurrentSince Sep 1, 2022 Accepting new patients
East Jordan Family Health Center CurrentSince Sep 1, 2022 Accepting new patients

Locations

4955 S M 88 Hwy
Bellaire, MI 49615
Phone (231) 533-8649

601 Bridge St
East Jordan, MI 49727
Phone (231) 536-2206

Interoperability endpoints

  • Direct secure messaging: michael.winsten.p1@direct.ejfhc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1063608925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 E TANQUE VERDE RD",
            "address_2": "309-199",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499610",
            "telephone_number": "505-572-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FIRST ST",
            "address_2": "BLDG 17",
            "city": "HOLLOMAN AFB",
            "state": "NM",
            "postal_code": "88310",
            "telephone_number": "505-572-5676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 N Main St Ste 124",
            "address_purpose": "LOCATION",
            "city": "Bishop",
            "state": "CA",
            "postal_code": "935143013",
            "country_code": "US",
            "telephone_number": "760-872-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINSTEN",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "103195",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "18984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holloman Afb, NM

Sources for this page

Verify at the official NPI Registry.