Individual provider Active NPI

Michael U Igbokwe, FNP-BC

  • Family Nurse Practitioner
  • Morristown, TN
National Provider Identifier
1407209562
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21323 Issued in TN
Practice address
711 McFarland St
Morristown, TN 37814-3977
Phone
(423) 317-7412
Fax
(423) 317-7415
NPI assigned
Jul 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 21323 TN Primary

Addresses

Primary practice location

711 McFarland St
Morristown, TN 37814-3977

Mailing address

711 McFarland St
Morristown, TN 37814-3977
Phone (423) 317-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160907000250 TN Practitioner - Nurse Practitioner 6305132010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care and Geriatrics, PCGroup PAC ID 3577605054, 7 clinicians

Practice addresses (Care Compare)

711 McFarland St
Morristown, TN 37814-3977
Phone (423) 317-7412

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21323TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care and Geriatrics, PC CurrentSince Jul 19, 2016 Accepting new patients

Locations

711 McFarland St
Morristown, TN 37814
Phone (423) 317-7412

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1407209562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-317-7412",
            "fax_number": "423-317-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MCFARLAND ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143977",
            "telephone_number": "423-317-7412",
            "fax_number": "423-317-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBOKWE",
        "first_name": "MICHAEL",
        "middle_name": "U",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.