Annalise Kathleen Michaud, MSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71010241A Issued in IN

Practice address

515 N Bradner Ave
Marion, IN 46952-2449

Phone

(765) 664-8000

Fax

(877) 731-2066

NPI assigned

Aug 6, 2020

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Trina L. Greenwald LLCGroup PAC ID 6901043520, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion General Hospital Hospital, Marion, IN, CCN 150011

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trina L. Greenwald LLC

  dba Serenity Clinic

  • Clinical Psychologist
  • Marion, IN
  • NPI 1245574516

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• A Brighter Future, LLC

  • Professional Counselor
  • Fort Wayne, IN
  • NPI 1851672232
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marion General Hospital

  • General Acute Care Hospital
  • Gas City, IN
  • NPI 1760186373
  Care Compare affiliation
• Marion General Hospital

  • General Acute Care Hospital
  • Marion, IN
  • NPI 1770679201
  Care Compare affiliation
• Marion General Hospital

  dba Marion General Hospital Nutritional Support

  • Nutrition Support Registered Nurse
  • Marion, IN
  • NPI 1861578072

  Hospital

  Care Compare affiliation
• Marion General Hospital

  dba Marion General Hospital Ambulance Service

  • Land Ambulance
  • Marion, IN
  • NPI 1932295466

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1245840081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N BRADNER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522449",
            "telephone_number": "765-664-8000",
            "fax_number": "877-731-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N BRADNER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522449",
            "telephone_number": "765-664-8000",
            "fax_number": "877-731-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "ANNALISE",
        "middle_name": "KATHLEEN",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71010241A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN PRESCRIPTIVE AUTHORITY",
            "identifier": "71010241A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR- PRESCRIPTIVE AUTHORITY",
            "identifier": "71010241B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meridian Health Services Corp. (Meridian Health Services)
• Rachel Messer, RBT
• Dennis Earl Messersmith
• Magdalyn M Metz, MFA
• Manasseh Ifeanyi Michael
• Midwest Allergy & Sinus Center, LLC
• Midwest Eye Consultants, P.C. (Cataract & Laser Institute)
• Midwest Eye Consultants, P.C. (Midwest Eye Consultants #02)
• Midwest Eye Consultants, P.C. (Midwest Eye Consultants #06)
• Midwest Healthstrategies, Inc.

• Psychiatric/Mental Health Nurse Practitioner in Marion, IN
• Providers in Marion, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.