Active NPI
Michael Hartley
- Adult Psychiatric/Mental Health Registered Nurse
- Aberdeen, NC
National Provider Identifier
1457899403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 250260
- Practice address
- 100 Magnolia Square CT
Aberdeen, NC 28315-2225 - Phone
- (910) 638-5504
- NPI assigned
- Feb 9, 2017
- Last updated
- Feb 9, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 250260 | NC | Primary |
Addresses
Primary practice location
100 Magnolia Square CT
Aberdeen, NC 28315-2225
Mailing address
100 Magnolia Square CT
Aberdeen, NC 28315-2225
Phone (910) 638-5504
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
100 Magnolia Square CT
Aberdeen, NC 28315-2225
Phone (910) 638-5504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Hartley PLLC | Current | Accepting new patients |
Locations
100 Magnolia Square Ct
Aberdeen, NC 28315
Phone (910) 377-0312
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.
-
- Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
- Aberdeen, NC
- NPI 1912764523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1457899403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MAGNOLIA SQUARE CT",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152225",
"telephone_number": "910-638-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MAGNOLIA SQUARE CT",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152225",
"telephone_number": "910-638-5504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-09",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NC",
"license": "250260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.