Michelle F McNeilly, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

067540-23 Issued in NH

Practice address

391 West St
Keene, NH 03431-2409

Phone

(603) 354-3155

Fax

(603) 354-3156

NPI assigned

Apr 17, 2009

Last updated

Jul 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Premier Health, LLC

  • Nurse Practitioner
  • Lenoir City, TN
  • NPI 1962845107
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1124261318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 WEST ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034312409",
            "telephone_number": "603-354-3155",
            "fax_number": "603-354-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 WEST ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034312409",
            "telephone_number": "603-354-3155",
            "fax_number": "603-354-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEILLY",
        "first_name": "MICHELLE",
        "middle_name": "F",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "163730",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "067540-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1514406",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Anne McLean, LPN
• Olivia Mary McLean, PA-C
• Vincent P McMahon, OD
• Thomas C McNamara, MD
• Sonja R McNear
• Mdak LLC
• Emily Mecheski, LMT
• Ashley C Medhurst, RD/LD
• Gregg Byron Meehan, D.D.S.
• Leila Meehan, MA, CAGS, BCBA

• Nurse Practitioner in Keene, NH
• Providers in Keene, NH by specialty
• Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.