Individual provider Active NPI

Michele V Millan-Patterson, AGNP-BC

  • Nurse Practitioner
  • Porterville, CA
National Provider Identifier
1265038830
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95015935 Issued in CA
Practice address
222 W Henderson Ave
Porterville, CA 93257-1731
Phone
(559) 784-5483
Fax
(559) 789-9828
NPI assigned
Dec 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95015935 CA Primary

Addresses

Primary practice location

222 W Henderson Ave
Porterville, CA 93257-1731

Mailing address

222 W Henderson Ave
Porterville, CA 93257-1731
Phone (559) 784-5483

Other practice location 1

1410 S Mooney Blvd
Visalia, CA 93277-4440
Phone (559) 635-1746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210225000821 CA Practitioner - Nurse Practitioner 7618280496 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95015935CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunmed Health and Weight Management a Professional Med Corp CurrentSince Jan 15, 2023 Accepting new patients
Erick Madrigal, MD, Mba, Inc. Past Accepting new patients

Locations

5510 W De las Robles
Visalia, CA 93291
Phone (559) 607-3470

Interoperability endpoints

  • Direct secure messaging: michele.millan-patterson.1@6501.direct.athenahealth.com

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1265038830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571731",
            "telephone_number": "559-784-5483",
            "fax_number": "559-789-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571731",
            "telephone_number": "559-784-5483",
            "fax_number": "559-789-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 S Mooney Blvd",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774440",
            "country_code": "US",
            "telephone_number": "559-635-1746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLAN-PATTERSON",
        "first_name": "MICHELE",
        "middle_name": "V",
        "credential": "AGNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95015935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.