Active NPI
Michele Deann Blair, APRN, NP-C
- Nurse Practitioner
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3010855
- Practice address
- 200 Clinic Dr # 6
Madisonville, KY 42431-1661 - Phone
- (812) 477-7246
- Fax
- (270) 554-8987
- NPI assigned
- Nov 9, 2016
- Last updated
- Nov 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3010855 | KY | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 3010855 | KY |
Addresses
Primary practice location
200 Clinic Dr # 6
Madisonville, KY 42431-1661
Mailing address
67 Lakeview Dr
Paducah, KY 42001-5619
Phone (270) 554-8373
Other practice location 1
3332 Villa Pt Ste 104
Owensboro, KY 42303-7818
Phone (812) 477-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3332 Villa PT
Suite 104
Owensboro, KY 42303-7818
Phone (812) 477-7246
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010855 | KY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Care Clinic PSC | Interventional Pain Medicine | Current | Accepting new patients |
| Pain Management Centers of America, PSC | Interventional Pain Medicine | Current | Accepting new patients |
| Pain Management Centers of America, PSC | Interventional Pain Medicine | Past | Accepting new patients |
| Advanced Pain Care Clinic | Interventional Pain Medicine | Past | Accepting new patients |
Locations
1101 Professional Blvd
Ste 210
Evansville, IN 47714
Phone (812) 214-4099
112 Keeton Dr
Hopkinsville, KY 42240
Phone (270) 554-8373
1195 S Main St
#D
Madisonville, KY 42431
Phone (812) 505-2164
200 Clinic Dr
#6
Madisonville, KY 42431
200 Clinic Dr
Fl 3
Madisonville, KY 42431
Phone (270) 825-7214
200 Clinic Dr
Fl 6
Madisonville, KY 42431
Phone (270) 554-8373
3332 Villa Pt
Ste 104
Owensboro, KY 42303
Phone (270) 594-4892
67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373
6426 Highway 51 N
Ste B
Horn Lake, MS 38637
Phone (662) 440-7246
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Evansville, IN
- NPI 1992271811
KY
-
- Interventional Pain Medicine Physician
- Evansville, IN
- NPI 1942378112
KY
-
dba Commonwealth Pain and Spine
- Interventional Pain Medicine Physician
- Louisville, KY
- NPI 1306280177
-
- Interventional Pain Medicine Physician
- Hopkinsville, KY
- NPI 1326510181
-
- Interventional Pain Medicine Physician
- Horn Lake, MS
- NPI 1609796770
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1073055901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 LAKEVIEW DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420015619",
"telephone_number": "270-554-8373",
"fax_number": "270-554-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLINIC DR # 6",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311661",
"telephone_number": "812-477-7246",
"fax_number": "270-554-8987"
}
],
"practiceLocations": [
{
"address_1": "3332 Villa Pt Ste 104",
"address_purpose": "LOCATION",
"city": "Owensboro",
"state": "KY",
"postal_code": "423037818",
"country_code": "US",
"telephone_number": "812-477-7246",
"fax_number": "270-554-8987",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAIR",
"first_name": "MICHELE",
"middle_name": "DEANN",
"credential": "APRN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3010855",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KY",
"license": "3010855",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
- Bio-Medical Applications of Kentucky, Inc. (Fresenius Medical Care Madisonville)
- Tammy Ann Bishop, CRNA
- Victoria Lee Bivins, APRN
- Carrie June Black, ARNP
- Ashley Blackburn
- Brandi Nicole Bloodworth
- Judy B. Blue
- Bluegrass I.V. Care, Inc. (Bluegrass Home Medical)
- Bluegrass Kids Therapy Center LLC
- Bluegrass Mobile Xray Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.