Individual provider Active NPI

Joel Aaron Michels, F.N.P

  • Family Nurse Practitioner
  • Milwaukie, OR
National Provider Identifier
1124012042
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200850147NP Issued in OR
Practice address
10505 SE 17TH Ave
Suite 210
Milwaukie, OR 97222-7475
Phone
(503) 467-1271
Fax
(855) 232-6902
NPI assigned
Sep 7, 2005
Last updated
Feb 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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 200850147NP OR Primary

Addresses

Primary practice location

10505 SE 17TH Ave
Suite 210
Milwaukie, OR 97222-7475

Mailing address

10505 SE 17TH Ave
Milwaukie, OR 97222-7475
Phone (503) 467-1271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Family Practice Inc. CurrentSince Jan 5, 2009 Accepting new patients

Locations

541 NE 20th Ave
Ste 210
Portland, OR 97232
Phone (503) 233-6940

Organizations & group practices 1

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1124012042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 SE 17TH AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227475",
            "telephone_number": "503-467-1271",
            "fax_number": "855-232-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 SE 17TH AVE",
            "address_2": "SUITE 210",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227475",
            "telephone_number": "503-467-1271",
            "fax_number": "855-232-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "JOEL",
        "middle_name": "AARON",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200850147NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.