Individual provider Active NPI

Michelle A Obale, FNP

  • Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1619301223
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP124016 Issued in TX
Practice address
1604 Hospital Pkwy Ste 507
Bedford, TX 76022-6933
Phone
(817) 354-7268
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP124016 TX Primary

Addresses

Primary practice location

1604 Hospital Pkwy Ste 507
Bedford, TX 76022-6933

Mailing address

1604 Hospital Pkwy
Bedford, TX 76022-6986
Phone (817) 354-7268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20150306000642 TX Practitioner - Nurse Practitioner 4688990807 Reassigns benefits to 2 organizations
I20210602002211 AZ Practitioner - Nurse Practitioner 4688990807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

1604 Hospital Pkwy
Suite 507
Bedford, TX 76022-6933
Phone (817) 354-7268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP124016TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
Beacon Behavioral of Texas PA CurrentSince Feb 12, 2024 Accepting new patients
District Medical Group, Inc CurrentSince May 6, 2021 Accepting new patients
District Medical Group, Inc CurrentSince May 6, 2021 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Jan 1, 2021 Accepting new patients

Locations

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

22 Prestige Cir
Ste 200
Allen, TX 75002
Phone (214) 383-3200

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1604 Hospital Pkwy
Ste 507
Bedford, TX 76022
Phone (817) 354-7268

1604 Hospital Pkwy
Ste 50
Bedford, TX 76022
Phone (817) 354-7268

7777 Forest Ln
Ste 833
Dallas, TX 75230
Phone (972) 566-4591

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

550 Westcott St
Ste 520
Houston, TX 77007
Phone (713) 864-6694

Interoperability endpoints

  • Direct secure messaging: mobale233173@direct.valleywisehealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1619301223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226986",
            "telephone_number": "817-354-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 507",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226933",
            "telephone_number": "817-354-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBALE",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP124016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.