Individual provider Active NPI

Michelle K Voegels, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1194806299
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
200150014NP Issued in OR
Practice address
1675 SW Marlow Ave
Suite 201a
Portland, OR 97225-5104
Phone
(503) 227-4374
Fax
(503) 227-4603
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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 200150014NP OR Primary

Addresses

Primary practice location

1675 SW Marlow Ave
Suite 201a
Portland, OR 97225-5104

Mailing address

1675 SW Marlow Ave
Portland, OR 97225-5104
Phone (503) 227-4374

Other identifiers 1

IdentifierTypeStateIssuer
291761MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20031218000933 OR Practitioner - Nurse Practitioner 9133025265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1675 SW Marlow Ave
Suite 210a
Portland, OR 97225-5162
Phone (503) 227-4374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200150014NPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michelle Voegels, Pmhnp, Inc Psychiatric/Mental Health CurrentSince Oct 18, 2004 Accepting new patients
Klamath Behavorial Health and Wellness Past Accepting new patients
Sky Lakes Medical Center Inc Past Accepting new patients

Locations

409 Pine St
Ste 204
Klamath Falls, OR 97601
Phone (541) 880-2756

2625 Crosby Ave
Klamath Falls, OR 97603
Phone (541) 880-2756

2250 NW Flanders St
Ste 101
Portland, OR 97210
Phone (503) 222-6504

1675 SW Marlow Ave
Ste 210A
Portland, OR 97225
Phone (503) 227-4374

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1194806299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255104",
            "telephone_number": "503-227-4374",
            "fax_number": "503-227-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 SW MARLOW AVE",
            "address_2": "SUITE 201A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255104",
            "telephone_number": "503-227-4374",
            "fax_number": "503-227-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOEGELS",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "200150014NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291761",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.