Individual provider Active NPI

Michelle Boone, DNP, APRN

  • Family Nurse Practitioner
  • Nashville, AR
National Provider Identifier
1215310784
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004771 Issued in AR
Practice address
1400 Leslie St
Nashville, AR 71852-4027
Phone
(870) 845-1933
Fax
(866) 616-2448
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A004771 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A004771 AR
Family Nurse Practitioner 363LF0000X A004771 AR Primary

Addresses

Primary practice location

1400 Leslie St
Nashville, AR 71852-4027

Mailing address

PO Box 509
Nashville, AR 71852-0509
Phone (870) 845-1933

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Michelle.Boone@342428298117124.direct.elationemr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20161017000681 AR Practitioner - Nurse Practitioner 7416245972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1400 Leslie St
Nashville, AR 71852-4027
Phone (870) 845-1933

Hospital & facility affiliations

  • Elite Home Health Home health agency, Nashville, AR, CCN 047138
  • Howard Memorial Hospital Hospital, Nashville, AR, CCN 041311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004771ARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Clinic of Nashville, P.a. Past Accepting new patients
Impact Counseling Clinic, Incorporated Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.boone@342428298117124.direct.elationemr.com
  • Direct secure messaging: michelle.boone.1@26477.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25972/brand/1/csg/1/fhir/r4

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1215310784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718520509",
            "telephone_number": "870-845-1933",
            "fax_number": "866-616-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LESLIE ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718524027",
            "telephone_number": "870-845-1933",
            "fax_number": "866-616-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A004771",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A004771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michelle.Boone@342428298117124.direct.elationemr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1400 Leslie St",
            "city": "Nashville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718524027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

Verify at the official NPI Registry.