Michele Y. Hursh, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704255526 Issued in MI

Practice address

4368 Cleveland Ave
Stevensville, MI 49127-9595

Phone

(270) 983-6501

Fax

(269) 983-2237

NPI assigned

Sep 15, 2008

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 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Lakeland Medical Practices

  • Internal Medicine Physician
  • Saint Joseph, MI
  • NPI 1538397120
  Medicare reassignment NPD
• Lakeland Medical Practices

  • Internal Medicine Physician
  • Bridgman, MI
  • NPI 1568232247
  NPD

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1295984359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69405 CHRISTIANA LAKE ROAD",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "49112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 CLEVELAND AVE",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279595",
            "telephone_number": "270-983-6501",
            "fax_number": "269-983-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURSH",
        "first_name": "MICHELE",
        "middle_name": "Y.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704255526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295984359",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Hinckley, CCC-SLP
• Richard L Hines, MD
• Richard A Hirschler, MD
• Patrick W Holbert, M.D.
• Melissa Hultman, PA-C
• Ian Andrew Jackson, M.D.
• James R Mularczyk DDS PLLC
• JBCS Inc
• Charlene Xiaolin Jiang
• Frederick A Johansen, MD

• Nurse Practitioner in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.