Individual provider Active NPI

Michelle Hyeon Macdonna, CRNP

  • Adult Health Nurse Practitioner
  • Benson, NC
National Provider Identifier
1063781052
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R154556 Issued in MD
Practice address
1203 Chicopee Rd
Benson, NC 27504-2121
Phone
(919) 207-3205
Fax
(919) 207-3105
NPI assigned
Dec 20, 2011
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R154556 MD Primary

Addresses

Primary practice location

1203 Chicopee Rd
Benson, NC 27504-2121

Mailing address

1203 Chicopee Rd
Benson, NC 27504-2121
Phone (919) 207-3205

Other names 1

  • Michelle Hyeon Silas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260406003127 NC Order and Referring Only - Nurse Practitioner 8325378680

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10900 World Trade Blvd
Raleigh, NC 27617-4202

17177 N Laurel Park Dr
Livonia, MI 48152-3938

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

9201 E Mountain View Rd
Suite 220
Scottsdale, AZ 85258-5172

PO Box
Chicago, IL 60680

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R154556MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Oct 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

8601 Six Forks Rd
#I
Raleigh, NC 27615

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1063781052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 CHICOPEE RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275042121",
            "telephone_number": "919-207-3205",
            "fax_number": "919-207-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 CHICOPEE RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275042121",
            "telephone_number": "919-207-3205",
            "fax_number": "919-207-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONNA",
        "first_name": "MICHELLE",
        "middle_name": "HYEON",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R154556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SILAS",
            "middle_name": "HYEON",
            "credential": "NP, MSN/MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Benson, NC

Sources for this page

Verify at the official NPI Registry.