Michelle Lee Bishop, DNP, ACNP, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

906574 Issued in MS

Practice address

3270 Marcia Louise Dr
Southaven, MS 38672-6632

Phone

(901) 219-7474

NPI assigned

Apr 18, 2024

Last updated

Apr 18, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN2 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Segue Health of Mississippi LLC

  • Family Medicine Physician
  • Flowood, MS
  • NPI 1467989954
  Medicare reassignment NPD
• Quality Healthcare Resources LLC

  dba Palliative Community Resources

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1205081437

  MS, TN

  Medicare reassignment NPD
• Segue Health Partners LLC

  • Family Medicine Physician
  • Cordova, TN
  • NPI 1073040556
  Medicare reassignment NPD
• Spring Valley Hospice, LLC

  • Community Based Hospice Care Agency
  • Olive Branch, MS
  • NPI 1306086756
  NPD (past)

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1619722246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 MARCIA LOUISE DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726632",
            "telephone_number": "901-219-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 MARCIA LOUISE DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726632",
            "telephone_number": "901-219-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP, ACNP, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "906574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonal Bhakta
• Mikul Bhikha, MD
• Amy Michelle Bichsel Pacheco Pina, LCSW
• John Carl Biery Jr., D.O.
• Michael Bifano
• Debashis Biswas, M.D.
• Chastity Black, DC
• Kristen Black, M.ED., BCBA, LBA
• Katrina Marie Blackard, NP
• Makaila Blair, RBT

• Acute Care Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Acute Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.