Individual provider Active NPI

Michelle Heath, FNP-BC

  • Nurse Practitioner
  • Farmington, MO
National Provider Identifier
1063944932
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2017004718 Issued in MO
Practice address
534 Maple Valley Dr
Farmington, MO 63640-1981
Phone
(573) 760-8253
Fax
(314) 996-4500
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017004718 MO Primary
Family Nurse Practitioner 363LF0000X 2017004718 MO
Family Nurse Practitioner 363LF0000X 2019017168 MO

Addresses

Primary practice location

534 Maple Valley Dr
Farmington, MO 63640-1981

Mailing address

PO Box 957683
Saint Louis, MO 63195-7683
Phone (573) 760-8253

Other practice location 1

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone (573) 776-9216

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170913004017 MO Practitioner - Nurse Practitioner 5496028482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkland Health CenterGroup PAC ID 1951219237, 42 clinicians

Practice addresses (Care Compare)

534 Maple Valley Dr
Farmington, MO 63640-1981
Phone (573) 760-8253

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
53.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parkland Health Center CurrentSince Nov 10, 2025 Accepting new patients
Poplar Bluff Hma Physician Management, LLC Nurse Practitioner CurrentSince Aug 8, 2017 Accepting new patients
Big Springs Medical Association Current Accepting new patients
Parkland Health Center CurrentSince Nov 10, 2025 Accepting new patients
Big Springs Medical Association CurrentSince Oct 15, 2019 Accepting new patients
Big Springs Medical Association CurrentSince Oct 15, 2019 Accepting new patients
Parkland Health Center Past Accepting new patients

Locations

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

534 Maple Valley Dr
Farmington, MO 63640
Phone (573) 760-8253

225 Physicians Park
Ste 203
Poplar Bluff, MO 63901
Phone (573) 686-4750

225 Physicians Park
Ste 304
Poplar Bluff, MO 63901
Phone (573) 686-2411

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

2210 Barron Rd
Ste 120
Poplar Bluff, MO 63901
Phone (573) 785-2005

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1063944932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957683",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631957683",
            "telephone_number": "573-760-8253",
            "fax_number": "314-996-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401981",
            "telephone_number": "573-760-8253",
            "fax_number": "314-996-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 N Westwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639013396",
            "country_code": "US",
            "telephone_number": "573-776-9216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATH",
        "first_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017004718",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017004718",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019017168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "534 Maple Valley Dr",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.