Michelle McNicholas, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00651000 Issued in NJ

Practice address

1899 Route 88
Brick, NJ 08724-3124

Phone

(732) 840-8177

NPI assigned

Jul 7, 2016

Last updated

Jul 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Our Family PracticeGroup PAC ID 2466408356, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian at Home Ocean County Home health agency, Brick, NJ, CCN 317075
• Ocean Medical Center Hospital, Brick, NJ, CCN 310052
• Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28485/brand/1/csg/1/fhir/r4
• Direct secure messaging: michelle.mcnicholas.1@28485.direct.athenahealth.com

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.

• Our Family Practice

  • Family Medicine Physician
  • Brick, NJ
  • NPI 1609884790
  Medicare reassignment Care Compare group NPD
• Our Family Practice LLC

  dba Our Family Practice

  • Non-Pharmacy Dispensing Site
  • Brick, NJ
  • NPI 1811201189
  NPD (past)

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

• Hackensack Meridian Ambulatory Care, Inc.

  dba Hackensack Meridian at Home Ocean County

  • Home Health Agency
  • Brick, NJ
  • NPI 1376638064
  Care Compare affiliation
• HMH Hospitals Corporation

  dba HMH Behavioral Health Home

  • Clinic/Center
  • Neptune, NJ
  • NPI 1053880286

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  dba Ocean Medical Center

  • General Acute Care Hospital
  • Brick, NJ
  • NPI 1477065126
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Jersey Shore University Medical Center

  • General Acute Care Hospital
  • Neptune, NJ
  • NPI 1790297547
  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Brick, NJ
  • NPI 1942927538

  Hospital

  Care Compare affiliation
• HMH Hospitals Corporation

  dba Hackensack Meridian Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Neptune City, NJ
  • NPI 1962128496

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1558713180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243124",
            "telephone_number": "732-840-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243124",
            "telephone_number": "732-840-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOLAS",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00651000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina McKenna-Lezzo, APN
• William Joseph McLaughlin, DNP, APN
• Brenton McLean, LAC
• Chloe D. McMillan, CMHCC
• Annette A McNeil, MSW
• Shannon Medeiros
• Christine Medina
• Aditya Chand Mehra, M.D
• Rudolf Kurt Meier III, D.P.M.
• Dana Grace Melchers

• Family Nurse Practitioner in Brick, NJ
• Providers in Brick, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.

Verify at the official NPI Registry.