Individual provider Active NPI

Michele L Hines, M.D.

  • Psychiatry Physician
  • Louisville, KY
National Provider Identifier
1194797191
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
38628 Issued in KY
Practice address
9462 Brownsboro Rd
#251
Louisville, KY 40241-1118
Phone
(502) 396-3320
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 38628 KY Primary
Psychiatry Physician 2084P0800X MD61472633 WA

Addresses

Primary practice location

9462 Brownsboro Rd
#251
Louisville, KY 40241-1118

Mailing address

9462 Brownsboro Rd # 251
Louisville, KY 40241-1118
Phone (502) 396-3320

Other practice location 1

600 Broadway St
Longview, WA 98632-3256
Phone (360) 414-2236

Other identifiers 1

IdentifierTypeStateIssuer
64971716MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816000609 TX Practitioner - Psychiatry 2668456815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.77 of 100Reported as group
Quality
76.11
Promoting interoperability
100
Improvement activities
40
Cost
79.79

Merit-based Incentive Payment System (MIPS)

Final score
90.2 of 100Reported as group
Quality
84.35
Promoting interoperability
100
Improvement activities
40
Cost
79.93

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38628KYMDPsychiatry Physician
MD61472633WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Mar 22, 2023 Accepting new patients
Southcentral Foundation Current Accepting new patients
Commonwealth of Kentucky Past Accepting new patients
University Psychiatric Services, PSC Psychiatry Past Accepting new patients

Locations

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

Interoperability endpoints

  • Direct secure messaging: mhines647667@direct.peacehealth.org
  • Direct secure messaging: mhines@direct.scf.cc

Organizations & group practices 4

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1194797191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 BROWNSBORO RD # 251",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411118",
            "telephone_number": "502-396-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9462 BROWNSBORO RD",
            "address_2": "#251",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411118",
            "telephone_number": "502-396-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323256",
            "country_code": "US",
            "telephone_number": "360-414-2236",
            "fax_number": "360-414-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINES",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "38628",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61472633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64971716",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.