Individual provider Active NPI

Michelle Kathryn Wood, RN, CNS, LNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harrisonburg, VA
National Provider Identifier
1336136621
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0017138329 Issued in VA
Practice address
1241 N Main St
Harrisonburg, VA 22802
Phone
(540) 434-1941
Fax
(540) 433-8277
NPI assigned
Oct 1, 2005
Last updated
May 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0017138329 VA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 0001143842 VA

Addresses

Primary practice location

1241 N Main St
Harrisonburg, VA 22802

Mailing address

1241 N Main St
Harrisonburg, VA 22802-4632
Phone (540) 434-1941

Other identifiers 1

IdentifierTypeStateIssuer
004945166MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140611001433 VA Practitioner - Nurse Practitioner 5991736175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harrisonburg-Rockingham Community Services BoardGroup PAC ID 1052202884, 17 clinicians

Practice addresses (Care Compare)

1241 N Main St
Harrisonburg, VA 22802-4632
Phone (540) 434-1941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001143842VAMDPsychiatric/Mental Health Registered Nurse
0017138329VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisonburg-Rockingham Community Services Board CurrentSince Mar 17, 2008 Accepting new patients
Northwestern Community Services Board PastSince Nov 1, 2006 Accepting new patients

Locations

1241 N Main St
Harrisonburg, VA 22802
Phone (540) 434-1941

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1336136621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 N MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228024632",
            "telephone_number": "540-434-1941",
            "fax_number": "540-433-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 N MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "22802",
            "telephone_number": "540-434-1941",
            "fax_number": "540-433-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MICHELLE",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "RN, CNS, LNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-01",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0017138329",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001143842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945166",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.