Individual provider Active NPI

Michele Nicole Mitchell, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Lockport, NY
National Provider Identifier
1396045787
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F305554-1 Issued in NY
Practice address
5467 Upper Mountain Rd
Lockport, NY 14094-1854
Phone
(716) 439-7400
Fax
(716) 439-7521
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305554-1 NY Primary

Addresses

Primary practice location

5467 Upper Mountain Rd
Lockport, NY 14094-1854

Mailing address

5467 Upper Mountain Rd
Lockport, NY 14094-1854
Phone (716) 439-7400

Other practice location 1

1001 11th St
Niagara Falls, NY 14301-1201
Phone (716) 278-1940 ext. 1949

Other practice location 2

2931 Military Rd
Niagara Falls, NY 14304-1251
Phone (716) 298-4869

Other names 1

  • Miss Michele Nicole Sneed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150903002103 NY Practitioner - Nurse Practitioner 9537475603 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305554NYMDEmergency Medicine Physician
F305554-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince May 18, 2015 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince May 18, 2015 Accepting new patients
County of Niagara CurrentSince Aug 1, 2017 Accepting new patients
County of Niagara CurrentSince Aug 1, 2017 Accepting new patients

Locations

5467 Upper Mountain Rd
#200
Lockport, NY 14094
Phone (716) 439-7400

5467 Upper Mountain Rd
Lockport, NY 14094
Phone (716) 439-7400

1001 11th St
Fl 3
Niagara Falls, NY 14301
Phone (716) 278-1900

1001 11th St
Niagara Falls, NY 14301
Phone (716) 278-1940

6934 Williams Rd
Ste 500
Niagara Falls, NY 14304
Phone (716) 297-7898

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations & group practices 4

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1396045787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 UPPER MOUNTAIN RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941854",
            "telephone_number": "716-439-7400",
            "fax_number": "716-439-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 UPPER MOUNTAIN RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941854",
            "telephone_number": "716-439-7400",
            "fax_number": "716-439-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 11th St",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143011201",
            "country_code": "US",
            "telephone_number": "716-278-1940 x1949",
            "fax_number": "716-278-1943",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2931 Military Rd",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143041251",
            "country_code": "US",
            "telephone_number": "716-298-4869",
            "fax_number": "888-847-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHELE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305554-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "SNEED",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.