Individual provider Active NPI

Michelle DO

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1093415747
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15970447 Issued in TX
Practice address
3307 Spring Stuebner Rd Ste D
Spring, TX 77389-4690
Phone
(346) 800-6001
NPI assigned
Mar 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15970447 TX Primary

Addresses

Primary practice location

3307 Spring Stuebner Rd Ste D
Spring, TX 77389-4690

Mailing address

3307 Spring Stuebner Rd Ste D
Spring, TX 77389-4690
Phone (346) 800-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230727003001 TX Practitioner - Nurse Practitioner 7315308020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at Houston, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minivasive Pain Specialists,PLLCGroup PAC ID 7113278896, 29 clinicians

Practice addresses (Care Compare)

11925 Southwest Fwy
1 C
Stafford, TX 77477-2300
Phone (346) 800-6001

205 E Medical Ctr Blvd
Suite 100
Webster, TX 77598-4376
Phone (346) 800-6001

310 Kingwood Executive Dr C
Kingwood, TX 77339-2752
Phone (346) 800-6001

6002 Rogerdale Rd
Suite 590
Houston, TX 77072-1660
Phone (346) 800-6001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15970447TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minivasive Pain Specialists,PLLC CurrentSince Aug 21, 2023 Accepting new patients
Houston Kidney Specialists Center PLLC PastSince Oct 13, 2024 Accepting new patients

Locations

720 Avenue F N
Ste 3
Bay City, TX 77414
Phone (281) 720-6910

15201 East Fwy
Ste 118
Channelview, TX 77530

2051 Greenhouse Rd
Ste 240
Houston, TX 77084

7272 Pinemont Dr
Ste A
Houston, TX 77040

2636 S Loop W
Ste 301
Houston, TX 77054

2656 S Loop W
Ste 595
Houston, TX 77054

6002 Rogerdale Rd
Ste 590
Houston, TX 77072

310 Kingwood Executive Dr
Ste C
Kingwood, TX 77339
Phone (281) 312-6313

11233 Shadow Creek Pkwy
Ste 121
Pearland, TX 77584
Phone (713) 436-0148

3301 Spring Stuebner Rd
Ste 110
Spring, TX 77389
Phone (832) 919-1789

3307 Spring Stuebner Rd
Ste D
Spring, TX 77389
Phone (363) 800-6001

11925 Southwest Fwy
Ste 1
Stafford, TX 77477

14861 Southwest Fwy
Ste C302
Sugar Land, TX 77478
Phone (281) 340-1234

4660 Sweetwater Blvd
Ste 190
Sugar Land, TX 77479
Phone (281) 313-0551

155 School St
Ste 230
Tomball, TX 77375

205 E Medical Center Blvd
Ste 100
Webster, TX 77598

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1093415747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 SPRING STUEBNER RD STE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894690",
            "telephone_number": "346-800-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 SPRING STUEBNER RD STE D",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894690",
            "telephone_number": "346-800-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "15970447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.