Individual provider Active NPI

Michael Workman, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1154735140
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71004997A Issued in IN
Practice address
707 N Michigan St Ste 400
South Bend, IN 46601-1071
Phone
(574) 647-8470
Fax
(574) 647-8475
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71004997A IN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28130042A IN

Addresses

Primary practice location

707 N Michigan St Ste 400
South Bend, IN 46601-1071

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924
Phone (574) 647-1610

Other practice location 1

439 US Route 1 Ste A
York, ME 03909-1638
Phone (207) 977-2619

Other identifiers 7

IdentifierTypeStateIssuer
000000886472OtherINBCBS BMG BEHAVIORAL HEALTH
000000923971OtherINBCBS BMG BEHAVIORAL HEALTH
000000883510OtherINBCBS BMG IRELAND
000000883509OtherINBCBS BMG MAIN STREET
P01579587OtherINRR MEDICARE
000000882979OtherINBCBS BMG LAPORTE
201243450MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20170220000815 ME Practitioner - Nurse Practitioner 1153548128 Reassigns benefits to 18 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.63 of 100Reported as group
Quality
77.69
Promoting interoperability
95
Improvement activities
40
Cost
78.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28130042AINMDPsychiatric/Mental Health Nurse Practitioner
71004997AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rumford Hospital CurrentSince Mar 1, 2023 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince May 2, 2017 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Sebasticook Valley Health CurrentSince Jun 5, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince May 23, 2017 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Jun 5, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jun 5, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince May 23, 2017 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2023 Accepting new patients
The Aroostook Medical Center Current Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 4, 2021 Accepting new patients
Central Maine Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Bridgton Hospital CurrentSince Mar 1, 2023 Accepting new patients
Sebasticook Valley Health CurrentSince Jun 5, 2025 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince May 2, 2017 Accepting new patients
MRH Corp. CurrentSince Jun 5, 2025 Accepting new patients
Rumford Hospital CurrentSince Mar 1, 2023 Accepting new patients
The Aroostook Medical Center CurrentSince Jun 5, 2025 Accepting new patients
Acadia Hospital Corp CurrentSince Jan 30, 2017 Accepting new patients
Acadia Healthcare, Inc CurrentSince Mar 1, 2018 Accepting new patients
Eastern Maine Healthcare Systems CurrentSince Jun 5, 2025 Accepting new patients
Mainegeneral Medical Center CurrentSince Oct 4, 2021 Accepting new patients
MRH Corp. CurrentSince Jun 5, 2025 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jun 5, 2025 Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

23 Water St
Ste 203
Bangor, ME 04401
Phone (207) 973-6620

489 State St
Bangor, ME 04401
Phone (207) 973-8837

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1154735140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N NILES AVE",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171924",
            "telephone_number": "574-647-1610",
            "fax_number": "574-237-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N MICHIGAN ST STE 400",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011071",
            "telephone_number": "574-647-8470",
            "fax_number": "574-647-8475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 US Route 1 Ste A",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "ME",
            "postal_code": "039091638",
            "country_code": "US",
            "telephone_number": "207-977-2619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71004997A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28130042A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BMG BEHAVIORAL HEALTH",
            "identifier": "000000886472",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BMG BEHAVIORAL HEALTH",
            "identifier": "000000923971",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BMG IRELAND",
            "identifier": "000000883510",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BMG MAIN STREET",
            "identifier": "000000883509",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01579587",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BMG LAPORTE",
            "identifier": "000000882979",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201243450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.