Michele Depalma, NP
Individual provider Active NPI Family Nurse Practitioner · Forsyth, MO
NPI 1154869550 · NPPES record last updated Feb 6, 2017
Key facts
- NPI
- 1154869550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2017003055 (MO)
- Practice address
- 256 State Highway Y
Forsyth, MO 65653-5618 - Phone
- (417) 546-4200
- Fax
- (417) 546-4505
- NPI assigned
- Feb 6, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170413001484 | MO | Order and Referring Only - Nurse Practitioner | 9931485596 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017003055 | MO | Yes |
Addresses
Primary practice location
256 State Highway Y
Forsyth, MO 65653-5618
Mailing address
256 State Highway Y
P.O. Box 1240
Forsyth, MO 65653-5618
Phone (417) 546-4200
Other providers in Forsyth, MO
- Janiece Rachelle Bridges
- Leonard Wayne Bridges
- Mark Curtis Campbell
- Robert Reed Click Jr.
- Jordyn R Custer
- Erin Donat
- Dr Edward a Schanda and Dr Albert H Schanda DDS LLC
- Dr Nathan Woodward DDS LLC
- DRS Davis Jordan & Bowling Optometrists PC
- Epps Chiropractic Center LLC
All providers in Forsyth, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.