Michelle D Presley

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APN.0991949 Issued in CO

Practice address

111 Swift Gulch Rd
Ste 201
Avon, CO 81620

Phone

(970) 279-3434

Fax

(970) 293-4669

NPI assigned

Aug 29, 2012

Last updated

Jul 25, 2024By 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 3

Addresses

Other names 1

• Michelle D Buchanan Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Mountain Air Wellness LLC

  • Acute Care Nurse Practitioner
  • Avon, CO
  • NPI 1295531226
  Medicare reassignment NPD Authorized official
• Edwards Medical Provider Group

  • Multi-Specialty Clinic/Center
  • Edwards, CO
  • NPI 1619573904
  NPD (past)
• Poudre Valley Medical Group, LLC

  dba UCHealth Medical Group

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1578812178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST LEXINGTON KY 40536",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-6265",
            "fax_number": "859-257-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SWIFT GULCH RD",
            "address_2": "STE 201",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "970-279-3434",
            "fax_number": "970-293-4669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 swift gulch rd",
            "address_2": "Ste 201",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "81620",
            "country_code": "US",
            "telephone_number": "970-279-3434",
            "fax_number": "970-293-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESLEY",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R876857",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3008756",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0991949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BUCHANAN",
            "middle_name": "D",
            "credential": "DNP, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Parker, FNP
• John David Pfalzgraf, DDS
• Lauren Philmus
• Jennifer L. Pope, PA-C
• Amy Melissa Potter Newman, P.T.
• Regan C. Pyle, DO
• Keith L Rapp, M.D.
• Matthew Razo
• Retro Dental Group Avon
• Revolutio LLC

• Acute Care Nurse Practitioner in Avon, CO
• Providers in Avon, CO by specialty
• Acute Care Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.