Individual provider Active NPI

Michelle Scallan Baggett, CRNP

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1609646512
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-143353 Issued in AL
Practice address
145 Research Blvd Ste 100
Madison, AL 35758-2176
Phone
(256) 882-1510
Fax
(256) 217-5838
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-143353 AL Primary

Addresses

Primary practice location

145 Research Blvd Ste 100
Madison, AL 35758-2176

Mailing address

247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone (256) 882-1510

Other practice location 1

247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone (256) 882-1510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20240507001342 AL Practitioner - Nurse Practitioner 7416397500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innova Primary Care, PCGroup PAC ID 4688845571, 14 clinicians

Practice addresses (Care Compare)

145 Research Blvd
Suite 100
Madison, AL 35758-2176
Phone (256) 882-1510

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-143353ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Primary Care, PC Family Medicine CurrentSince Mar 3, 2024 Accepting new patients

Locations

247 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 533-9393

145 Research Blvd
Ste 100
Madison, AL 35758
Phone (256) 882-1510

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFECDA

Organizations & group practices 1

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 1

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1609646512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RESEARCH BLVD STE 100",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582176",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "247 Chateau Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358016401",
            "country_code": "US",
            "telephone_number": "256-882-1510",
            "fax_number": "256-217-5838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGGETT",
        "first_name": "MICHELLE",
        "middle_name": "SCALLAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-143353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.