NPIMap

Individual provider Active NPI

Michael Dale Hilburn, FNP-C

  • Family Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1154082840
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
268141 Issued in AZ
Practice address
2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone
(928) 226-6400
Fax
(928) 226-6410
NPI assigned
Jan 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 268141 AZ Primary

Addresses

Primary practice location

2000 S Thompson St
Flagstaff, AZ 86001-8759

Mailing address

5440 S J Diamond Rd
Flagstaff, AZ 86005-9329
Phone (806) 336-9061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220202001036 AZ Practitioner - Nurse Practitioner 6800289554 Reassigns benefits to 2 organizations
Practice locations: Cave Creek, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Northern Arizona Healthcare CorporationGroup PAC ID 3577473362, 391 clinicians

Practice addresses (Care Compare)

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

5440 S J Diamond Rd
Flagstaff, AZ 86005-9329
Phone (806) 336-9061

Hospital & facility affiliations

  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Little Colorado Medical Center Hospital, Winslow, AZ, CCN 031311
  • Sage Memorial Hospital Hospital, Ganado, AZ, CCN 031309

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Healthcare Corporation CurrentSince Jan 15, 2022 Accepting new patients
Northern Arizona Healthcare Corporation Current Accepting new patients
Flagstaff Pathology Associates Current Accepting new patients
Covenant Wound Care LLC Family CurrentSince Nov 15, 2025 Accepting new patients
Sonoran Wound LLC Family Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

1521 N Pine Cliff Dr
Flagstaff, AZ 86001
Phone (928) 440-2350

2000 S Thompson St
Flagstaff, AZ 86001
Phone (928) 213-1051

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1154082840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 S J DIAMOND RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860059329",
            "telephone_number": "806-336-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S THOMPSON ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860018759",
            "telephone_number": "928-226-6400",
            "fax_number": "928-226-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILBURN",
        "first_name": "MICHAEL",
        "middle_name": "DALE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "268141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.