Individual provider Active NPI

Michael M Haun, APRN

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1487619649
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3002808 Issued in KY
Practice address
1930 Bishop LN
Suite 1600
Louisville, KY 40218-1921
Phone
(502) 272-5034
Fax
(502) 272-5117
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3002808 KY Primary

Addresses

Primary practice location

1930 Bishop LN
Suite 1600
Louisville, KY 40218-1921

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 3

IdentifierTypeStateIssuer
000000541714OtherANTHEM - NICC
P00216325OtherKYRRMCR - NICC
046612OtherSIHO - NICC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040602000403 KY Practitioner - Nurse Practitioner 6305828658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1230 Market St
La Grange, KY 40031-7986

1321 Herr LN
Suite 195
Louisville, KY 40222-4385
Phone (502) 423-7911

150 Franfort Rd
Shelbyville, KY 40065-7401

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jan 1, 2006 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Jan 1, 2006 Accepting new patients
Norton Enterprises, Inc. Past Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner Past Accepting new patients

Locations

157 Towne Dr
Ste 104
Elizabethtown, KY 42701
Phone (270) 769-2273

202 Limestone St S
Ste 1C
Frankfort, KY 40601
Phone (502) 665-8377

1230 Market St
Ste B
La Grange, KY 40031
Phone (502) 225-6920

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9340 Cedar Center Way
Louisville, KY 40291
Phone (502) 239-8431

1102 Lyndon Ln
Louisville, KY 40222
Phone (502) 423-7911

10284 Shelbyville Rd
Louisville, KY 40223
Phone (502) 244-5827

3101 Poplar Level Rd
Ste 102
Louisville, KY 40213
Phone (502) 636-6012

12903 Shelbyville Rd
Louisville, KY 40243
Phone (502) 244-5827

4420 Dixie Hwy
Ste 116
Louisville, KY 40216
Phone (502) 449-6400

7926 Preston Hwy
Ste 106
Louisville, KY 40219
Phone (502) 964-4357

1321 Herr Ln
Ste 195
Louisville, KY 40222
Phone (502) 423-7911

7926 Preston Hwy
Louisville, KY 40219
Phone (502) 964-4357

12615 Taylorsville Rd
Ste B
Louisville, KY 40299
Phone (502) 261-1565

901 DuPont Rd
Ste 100
Louisville, KY 40207
Phone (502) 559-1855

1930 Bishop Ln
Ste 1600
Louisville, KY 40218
Phone (502) 272-5034

150 Frankfort Rd
Ste 104A
Shelbyville, KY 40065
Phone (502) 844-2890

438 Adam Shepherd Pkwy
Ste 2
Shepherdsville, KY 40165
Phone (502) 957-6434

Interoperability endpoints

  • Direct secure messaging: mhaun11841@direct.nortonhealthcare.org

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1487619649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BISHOP LN",
            "address_2": "SUITE 1600",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181921",
            "telephone_number": "502-272-5034",
            "fax_number": "502-272-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUN",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3002808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NICC",
            "identifier": "000000541714",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR - NICC",
            "identifier": "P00216325",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - NICC",
            "identifier": "046612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.