Active NPI
Michelle Leborys Hockstra, NP
- Family Nurse Practitioner
- Fulton, MD
National Provider Identifier
1528091329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R121584
- Practice address
- 8197 Westside Blvd
Minute Clinic
Fulton, MD 20759-2590 - Phone
- (410) 627-6153
- Fax
- (301) 570-0990
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R121584 | MD | Primary |
Addresses
Primary practice location
8197 Westside Blvd
Minute Clinic
Fulton, MD 20759-2590
Mailing address
2612 Triadelphia Lake Rd
Brookeville, MD 20833-1414
Phone (410) 627-6153
Other names 1
- Michelle Leborys
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R121584 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mep Health, LLC | Past | Accepting new patients | |
| Yardmore Emergency Physicians LLC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Emergency Medicine Physician
- Baltimore, MD
- NPI 1730131657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1528091329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 TRIADELPHIA LAKE RD",
"city": "BROOKEVILLE",
"state": "MD",
"postal_code": "208331414",
"telephone_number": "410-627-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8197 WESTSIDE BLVD",
"address_2": "MINUTE CLINIC",
"city": "FULTON",
"state": "MD",
"postal_code": "207592590",
"telephone_number": "410-627-6153",
"fax_number": "301-570-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCKSTRA",
"first_name": "MICHELLE",
"middle_name": "LEBORYS",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R121584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "LEBORYS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fulton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.