Individual provider Active NPI

Michael David Hobbs, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1174032213
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
23119 Issued in TN
Practice address
6005 Park Ave Ste 630B
Memphis, TN 38119-5226
Phone
(901) 767-1136
Fax
(901) 767-0476
NPI assigned
Sep 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 23119 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 630B
Memphis, TN 38119-5226

Mailing address

6005 Park Ave Ste 630B
Memphis, TN 38119-5226
Phone (901) 767-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180625000746 TN Practitioner - Nurse Practitioner 1052666591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vogelfanger and Struble ClinicGroup PAC ID 6608963954, 11 clinicians

Practice addresses (Care Compare)

6005 Park Ave
Suite 630B
Memphis, TN 38119-5226
Phone (901) 767-1136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23119TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vogelfanger and Struble Clinic Psychiatric/Mental Health CurrentSince Nov 8, 2017 Accepting new patients

Locations

6005 Park Ave
Ste 630B
Memphis, TN 38119
Phone (901) 767-1136

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174032213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 630B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195226",
            "telephone_number": "901-767-1136",
            "fax_number": "901-767-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 630B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195226",
            "telephone_number": "901-767-1136",
            "fax_number": "901-767-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "23119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.