NPIMap

Individual provider Active NPI

Michelle Marie Meyer-Ban, N.P.

  • Women's Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1548209422
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0024164681 Issued in VA
Practice address
5936 Harbour Park Dr
Midlothian, VA 23112-2163
Phone
(804) 739-2412
Fax
(804) 739-2414
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0024164681 VA Primary

Addresses

Primary practice location

5936 Harbour Park Dr
Midlothian, VA 23112-2163

Mailing address

2802 Autumn Woods Cir
Midlothian, VA 23112-4218
Phone (804) 739-2412

Other identifiers 1

IdentifierTypeStateIssuer
VAA104644OtherVAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000332 VA Practitioner - Nurse Practitioner 0244266278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Virginia Commonwealth University, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5936 Harbour Park Dr
Midlothian, VA 23112-2163
Phone (804) 739-2412

5956 Harbour Park Dr
Midlothian, VA 23112-2163

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024164681VAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health First, PLLC CurrentSince Sep 17, 2009 Accepting new patients
Pratt Medical Center LTD Past Accepting new patients

Locations

5001 W Village Green Dr
Ste 109
Midlothian, VA 23112
Phone (804) 638-3626

5936 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 739-2412

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1548209422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 AUTUMN WOODS CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124218",
            "telephone_number": "804-739-2412",
            "fax_number": "804-739-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5936 HARBOUR PARK DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122163",
            "telephone_number": "804-739-2412",
            "fax_number": "804-739-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER-BAN",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024164681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "VAA104644",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.