Individual provider Active NPI

Anna Michelson, DNP, APRN, AGNP-C

  • Gerontology Nurse Practitioner
  • Waterville, ME
National Provider Identifier
1447140041
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
CNP261649 Issued in ME
Practice address
149 North St
Waterville, ME 04901-4974
Phone
(207) 873-1098
Fax
(207) 861-5461
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X CNP261649 ME Primary

Addresses

Primary practice location

149 North St
Waterville, ME 04901-4974

Mailing address

996 Chestnut St Apt 1
Newton Upper Falls, MA 02464-1136
Phone (610) 710-1905

Other practice location 1

3200 Vine St
Cincinnati, OH 45220-2213
Phone (513) 861-3100

Other names 1

  • Annie Michelson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN10014290MAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1447140041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 CHESTNUT ST APT 1",
            "city": "NEWTON UPPER FALLS",
            "state": "MA",
            "postal_code": "024641136",
            "telephone_number": "610-710-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORTH ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014974",
            "telephone_number": "207-873-1098",
            "fax_number": "207-861-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Vine St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202213",
            "country_code": "US",
            "telephone_number": "513-861-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "ANNA",
        "credential": "DNP, APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ME",
            "license": "CNP261649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "MICHELSON",
            "credential": "DNP, APRN, AGNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.