Michelle Lenee Hill, DNP, AGNP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Mesa, AZ
NPI 1245944255 · NPPES record last updated Aug 22, 2023
Key facts
- NPI
- 1245944255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 285487 (AZ)
- Practice address
- 1705 W Main St
Mesa, AZ 85201-6920 - Phone
- (480) 964-2273
- Fax
- (480) 718-9477
- NPI assigned
- Jan 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adelante Healthcare, Inc
Practice addresses (Care Compare)
1705 W Main St
Mesa, AZ 85201-6920
Phone (877) 809-5092
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 |
|---|---|---|---|---|
| I20230309001150 | AZ | Practitioner - Nurse Practitioner | 2062885254 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adelante Healthcare, Inc | Current |
Accepting new patients | |
| Adelante Healthcare, Inc. | Current | Accepting new patients | |
| Adelante Healthcare, Inc | Current |
Accepting new patients | |
| Adelante Healthcare, Inc. | Past | Accepting new patients | |
| Adelante Healthcare, Inc. | Past | Accepting new patients |
Locations
306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814
13471 W Cornerstone Blvd
Goodyear, AZ 85395
1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769
15525 N 83rd Ave
Ste 104
Peoria, AZ 85382
9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487
3033 N Central Ave
Ste 145
Phoenix, AZ 85012
500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222
15317 W Bell Rd
Ste 108
Surprise, AZ 85374
Phone (717) 299-6372
15317 W Bell Rd
Ste 100
Surprise, AZ 85374
15351 W Bell Rd
Surprise, AZ 85374
811 N Tegner St
Ste 113
Wickenburg, AZ 85390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 285487 | AZ | |
| Primary Care Nurse Practitioner | 363LP2300X | 285487 | AZ | |
| Gerontology Nurse Practitioner | 363LG0600X | 285487 | AZ | Yes |
Addresses
Primary practice location
1705 W Main St
Mesa, AZ 85201-6920
Mailing address
3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135677 | Medicaid | AZ |
Other providers in Mesa, AZ
- Todd Hildreth
- Steven M. Hilger
- Kyle B Hilgers
- Allyson E Hill
- Mellissa L Hill
- Tammy Jane Hill
- Taylor Hill
- Warren E Hill
- Jean E Hilliard
- Melissa Hillquist
All providers in Mesa, AZ · Gerontology 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 Aug 22, 2023. 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.