Individual provider Active NPI

Michelle Elizabeth Hebard

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1285339325
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
273136 Issued in AZ
Practice address
28635 N North Valley Pkwy
Phoenix, AZ 85085-5434
Phone
(623) 582-9207
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 273136 AZ Primary

Addresses

Primary practice location

28635 N North Valley Pkwy
Phoenix, AZ 85085-5434

Mailing address

28635 N North Valley Pkwy
Phoenix, AZ 85085-5434
Phone (623) 582-9207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230526001067 AZ Practitioner - Nurse Practitioner 2769849264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

28635 N N Valley Pkwy
Phoenix, AZ 85085-5434
Phone (866) 389-2727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Nurse Practitioner CurrentSince Apr 18, 2023 Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

28635 N North Valley Pkwy
Phoenix, AZ 85085
Phone (623) 582-9207

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

3832 E Speedway Blvd
Tucson, AZ 85716
Phone (520) 323-3923

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1285339325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28635 N NORTH VALLEY PKWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855434",
            "telephone_number": "623-582-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28635 N NORTH VALLEY PKWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855434",
            "telephone_number": "623-582-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBARD",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "273136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.