Individual provider Active NPI

Michelle Leigh Miller, NP

  • Family Nurse Practitioner
  • Muskegon, MI
National Provider Identifier
1184601841
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704197487 Issued in MI
Practice address
1150 E Sherman Blvd Ste 1175
Muskegon, MI 49444-1885
Phone
(231) 672-6740
Fax
(231) 672-6787
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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 4704197487 MI Primary

Addresses

Primary practice location

1150 E Sherman Blvd Ste 1175
Muskegon, MI 49444-1885

Mailing address

PO Box 776982
Chicago, IL 60677-6982
Phone (231) 672-2119

Other identifiers 2

IdentifierTypeStateIssuer
1184601841MedicaidMI
N33890OtherMIMEDICARE GROUP PTAN

Other names 1

  • Michelle Leigh Yates Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address myates36571@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090311000165 MI Practitioner - Nurse Practitioner 3173689486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician NetworkGroup PAC ID 8921996307, 109 clinicians
Muskegon Surgical Associates PCGroup PAC ID 0941262877, 27 clinicians

Practice addresses (Care Compare)

1150 E Sherman Blvd
Suite 1175
Muskegon, MI 49444-1885
Phone (231) 672-6740

1316 Mercy Dr
Muskegon, MI 49444-1835
Phone (231) 739-9461

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 739-9341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704197487MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners - Physician Specialist Nurse Practitioner CurrentSince Jan 1, 2014 Accepting new patients
Mercy Physician Network Nurse Practitioner CurrentSince Jul 1, 2001 Accepting new patients
Muskegon Surgical Associates PC CurrentSince Jul 8, 2010 Accepting new patients

Locations

1560 E Sherman Blvd
Ste 125
Muskegon, MI 49444
Phone (231) 672-3660

1675 Patriot Dr
Muskegon, MI 49444
Phone (231) 739-1933

1150 E Sherman Blvd
Ste 1125
Muskegon, MI 49444
Phone (231) 672-6740

1316 Mercy Dr
Muskegon, MI 49444
Phone (231) 739-9461

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1150 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-6740

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

1150 E Sherman Blvd
Ste 1175
Norton Shores, MI 49444
Phone (231) 672-6740

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
  • Direct secure messaging: myates36571@direct.trinity-health.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1184601841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776982",
            "telephone_number": "231-672-2119",
            "fax_number": "313-432-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD STE 1175",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441885",
            "telephone_number": "231-672-6740",
            "fax_number": "231-672-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704197487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184601841",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "N33890",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "myates36571@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mercy Health Muskegon Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1150 E Sherman Blvd",
            "address_2": "Suite 1125",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494441871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "YATES",
            "middle_name": "LEIGH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.