Individual provider Active NPI

Michelle Emmons

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1144775131
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-132105 Issued in AL
Practice address
513 Brookwood Blvd Ste 372
Birmingham, AL 35209-7807
Phone
(205) 802-6595
Fax
(205) 802-6598
NPI assigned
Aug 18, 2016
Last updated
Oct 18, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-132105 AL Primary
Registered Nurse 163W00000X 1-132105 AL

Addresses

Primary practice location

513 Brookwood Blvd Ste 372
Birmingham, AL 35209-7807

Mailing address

513 Brookwood Blvd Ste 372
Birmingham, AL 35209-7807

Other practice location 1

513 Brookwood Blvd Ste 260
Birmingham, AL 35209-7844
Phone (205) 802-6595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160901001413 AL Practitioner - Nurse Practitioner 6103112040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 715-5943

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-132105ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Aug 1, 2018 Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 1, 2018 Accepting new patients
Brookwood Primary Care - Inverness, L.L.C. Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

513 Brookwood Blvd
Ste 372
Birmingham, AL 35209
Phone (205) 802-6595

513 Brookwood Blvd
Ste 260
Homewood, AL 35209
Phone (205) 802-6595

4902 Valleydale Rd
Hoover, AL 35242
Phone (205) 677-5454

Interoperability endpoints

  • Direct secure messaging: memmons54601@baptisthealthaldirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1144775131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD STE 372",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD STE 372",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097807",
            "telephone_number": "205-802-6595",
            "fax_number": "205-802-6598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Brookwood Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352097844",
            "country_code": "US",
            "telephone_number": "205-802-6595",
            "fax_number": "205-802-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-132105",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-132105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.