Individual provider Active NPI

Michael Hubert, FNP-C

  • Nurse Practitioner
  • Lebanon, TN
National Provider Identifier
1508231911
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20565 Issued in TN
Practice address
1035 S Hartmann Dr
Lebanon, TN 37090-4064
Phone
(615) 321-0200
Fax
(615) 443-5488
NPI assigned
Dec 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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 20565 TN Primary

Addresses

Primary practice location

1035 S Hartmann Dr
Lebanon, TN 37090-4064

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294

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
I20170724002011 TN Practitioner - Nurse Practitioner 8224308259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

1035 S Hartmann Dr
Lebanon, TN 37090-4064
Phone (615) 443-7374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
20565TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Family Care, LLC Family CurrentSince Jan 1, 2022 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Dec 15, 2025 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 23, 2024 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Sep 23, 2024 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Dec 15, 2025 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

400 E Public Sq
Alexandria, TN 37012
Phone (615) 529-2116

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1035 S Hartmann Dr
Lebanon, TN 37090
Phone (615) 321-0200

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

Interoperability endpoints

  • Direct secure messaging: michael.hubert.p1@direct.toa.nextgenshare.com

Organizations & group practices 7

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": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1508231911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S HARTMANN DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904064",
            "telephone_number": "615-321-0200",
            "fax_number": "615-443-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-10",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "20565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.