Individual provider Active NPI

Michelle Kensie Hungate, FNP-BC

  • Family Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1336733062
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181015 Issued in VA
Practice address
10412 Washington Hwy Ste C
Glen Allen, VA 23059-1918
Phone
(866) 434-3255
NPI assigned
Feb 23, 2021
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 0024181015 VA Primary

Addresses

Primary practice location

10412 Washington Hwy Ste C
Glen Allen, VA 23059-1918

Mailing address

10412 Washington Hwy
Glen Allen, VA 23059-1918
Phone (804) 538-1652

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
I20210311000830 VA Practitioner - Nurse Practitioner 0042626335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024181015VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MH Health Care Services, PC CurrentSince Mar 24, 2024 Accepting new patients
MH Health Care Services, PC PastSince Jan 1, 2024 Accepting new patients
Asm Pharmacy, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

10412 Washington Hwy
Glen Allen, VA 23059
Phone (804) 248-4728

10412 Washington Hwy
Ste C
Glen Allen, VA 23059

Interoperability endpoints

  • Direct secure messaging: michelle.huntgate.1@14940.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, 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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1336733062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 WASHINGTON HWY",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591918",
            "telephone_number": "804-538-1652",
            "fax_number": "833-450-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 WASHINGTON HWY STE C",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591918",
            "telephone_number": "866-434-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGATE",
        "first_name": "MICHELLE",
        "middle_name": "KENSIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.