Active NPI
Michael J Powell, CRNP
- Family Nurse Practitioner
- Natrona Heights, PA
National Provider Identifier
1386985513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP012742
- Practice address
- 1301 Carlisle St
Natrona Heights, PA 15065-1152 - Phone
- (724) 226-7036
- NPI assigned
- Mar 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | SP012742 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP012742 | PA | Primary |
Addresses
Primary practice location
1301 Carlisle St
Natrona Heights, PA 15065-1152
Mailing address
PO Box 106
Saxonburg, PA 16056-0106
Phone (724) 882-5115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251713534 | Other | PA | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130514000215 | PA | Practitioner - Nurse Practitioner | 6103063003 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP012742 | PA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Faster Care PLLC | Current | Accepting new patients |
Locations
250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368
21 Franklin Village Mall
Kittanning, PA 16201
Phone (724) 543-3278
147 Mulone Dr
Sarver, PA 16055
Phone (724) 295-0087
100 Innovation Dr
Ste 103
Slippery Rock, PA 16057
Phone (724) 738-0912
Interoperability endpoints
- michael.powell@direct-address.net
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": "1363132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457827200000",
"number": "1386985513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 106",
"city": "SAXONBURG",
"state": "PA",
"postal_code": "160560106",
"telephone_number": "724-882-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 CARLISLE ST",
"city": "NATRONA HEIGHTS",
"state": "PA",
"postal_code": "150651152",
"telephone_number": "724-226-7036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-13",
"last_updated": "2016-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "SP012742",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP012742",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "251713534",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natrona Heights, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.