Micah Charles French, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Safford, AZ
NPI 1194472415 · NPPES record last updated Mar 7, 2022
Key facts
- NPI
- 1194472415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 268110 (AZ)
- Practice address
- 2016 W 16TH St
Safford, AZ 85546-4026 - Phone
- (928) 428-1500
- NPI assigned
- Mar 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Canyonlands Community Health Care
Practice addresses (Care Compare)
1615 S 1St Ave
Safford, AZ 85546-2103
Phone (928) 348-1701
Hospital & facility affiliations
- Mt. Graham Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20220525001549 | AZ | Practitioner - Nurse Practitioner | 5698153096 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268110 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyonlands Community Health Care | Current |
Accepting new patients | |
| Canyonlands Community Health Care | Nurse Practitioner | Current | Accepting new patients |
| Canyonlands Community Health Care | Current |
Accepting new patients | |
| Canyonlands Community Health Care | Past | Accepting new patients |
Locations
2016 W 16th St
Safford, AZ 85546
Phone (520) 428-1377
1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701
Interoperability endpoints
- micah.french.p1@direct.canyonlands.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 268110 | AZ | Yes |
Addresses
Primary practice location
2016 W 16TH St
Safford, AZ 85546-4026
Mailing address
PO Box 486
Central, AZ 85531-0486
Phone (928) 965-7705
Other providers in Safford, AZ
- Elizabeth Belen Ferrin
- Eduardo M Ferriol
- Ramon Figueroa
- Jayme D Fite
- Laurence A French
- Trisha Boyer French
- Amy M Fulps
- Anita Garcia
- Dana M Garcia
- Marvin Raul Garcia
All providers in Safford, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.