Michelle Lynn Powell, NP-C
Individual provider Active NPI Family Nurse Practitioner · Mount Morris, MI
NPI 1114446606 · NPPES record last updated Sep 15, 2017
Key facts
- NPI
- 1114446606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704263572NSA17284 (MI)
- Practice address
- 8428 Butternut Creek Dr
Mount Morris, MI 48458-9771 - Phone
- (810) 893-4781
- Fax
- (810) 893-4781
- NPI assigned
- Sep 15, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171016002493 | MI | Practitioner - Nurse Practitioner | 0840566071 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704263572NSA17284 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiovascular Clinic PC | Current |
Accepting new patients | |
| Advanced Cardiovascular Clinic PC | Current |
Accepting new patients | |
| Flint Vascular Surgery P.L.L.C. | Current |
Accepting new patients |
Locations
1325 S Linden Rd
Flint, MI 48532
Phone (810) 535-5555
6122 W Pierson Rd
Unit 1
Flushing, MI 48433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704263572NSA17284 | MI | Yes |
Addresses
Primary practice location
8428 Butternut Creek Dr
Mount Morris, MI 48458-9771
Mailing address
8428 Butternut Creek Dr
Mount Morris, MI 48458-9771
Phone (810) 893-4781
Other providers in Mount Morris, MI
- Shanteara Perry
- Lacie J Peters
- Lizzell Q Peterson
- Zareah M Phelps
- Shanequa Emmani-Renae Porter
- Deantanea Ratcliff
- Amanda Reinhardt
- Reliant Renal Care - Mt. Morris, LLC
- Rem Michigan LLC
- Res-Care Premier, Inc.
All providers in Mount Morris, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.