Individual provider Active NPI

Michelle D Henderson, CNM

  • Advanced Practice Midwife
  • Chattanooga, TN
National Provider Identifier
1295033256
Registry record updated Sep 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
31830 Issued in TN
Practice address
7490 Ziegler Rd
Chattanooga, TN 37421-3156
Phone
(423) 648-6020
Fax
(423) 702-9994
NPI assigned
Mar 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11011885 FL
Advanced Practice Midwife 367A00000X 31830 TN Primary

Addresses

Primary practice location

7490 Ziegler Rd
Chattanooga, TN 37421-3156

Mailing address

7490 Ziegler Rd
Chattanooga, TN 37421-3156
Phone (423) 648-6020

Other names 1

  • Michelle D Pease Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220913001919 TN Practitioner - Certified Nurse Midwife (CNM) 9335323922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11011885FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health CurrentSince Dec 27, 2023 Accepting new patients
Erlanger Health CurrentSince Dec 27, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Sep 19, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Sep 19, 2022 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Erlanger Health Past Accepting new patients

Locations

7490 Ziegler Rd
Chattanooga, TN 37421
Phone (423) 648-6020

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 6

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694908800000",
    "number": "1295033256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 ZIEGLER RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213156",
            "telephone_number": "423-648-6020",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 ZIEGLER RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213156",
            "telephone_number": "423-648-6020",
            "fax_number": "423-702-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11011885",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "31830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PEASE",
            "middle_name": "D",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.