Individual provider Active NPI

Michael James Egan, R.N., PMHNP-BC

  • Psychiatric/Mental Health Registered Nurse
  • Falmouth, MA
National Provider Identifier
1568516672
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN2295724 Issued in MA
Practice address
340 Gifford St
Falmouth, MA 02540-5105
Phone
(508) 663-3809
Fax
(513) 440-8404
NPI assigned
Jan 23, 2007
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11039789 FL
Psychiatric/Mental Health Registered Nurse 163WP0808X RN2295724 MA Primary

Addresses

Primary practice location

340 Gifford St
Falmouth, MA 02540-5105

Mailing address

340 Gifford St
Falmouth, MA 02540-5105
Phone (508) 663-3809

Other practice location 1

2401 University Pkwy Ste 104
Sarasota, FL 34243-2894
Phone (941) 263-8441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250814000438 MA Practitioner - Nurse Practitioner 3173021557 Reassigns benefits to 1 organization
I20260610001624 FL Practitioner - Nurse Practitioner 3173021557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Health Services LLCGroup PAC ID 6901866706, 470 clinicians

Practice addresses (Care Compare)

340 Gifford St
Falmouth, MA 02540-5105
Phone (508) 663-3809

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11039789FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Health Services, LLC CurrentSince Aug 6, 2025 Accepting new patients
Rocky Coast Family Acupuncture, PA Acupuncturist Past Accepting new patients

Locations

340 Gifford St
Falmouth, MA 02540
Phone (508) 495-0554

30 Taunton Grn
Ste 5
Taunton, MA 02780
Phone (508) 545-7400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1568516672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025405105",
            "telephone_number": "508-663-3809",
            "fax_number": "513-440-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025405105",
            "telephone_number": "508-663-3809",
            "fax_number": "513-440-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 University Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342432894",
            "country_code": "US",
            "telephone_number": "941-263-8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGAN",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "R.N., PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11039789",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2295724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.