Michelle Lee Chin, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

N-1665A Issued in ID

Practice address

6933 W Emerald St
Boise, ID 83704-8616

Phone

(208) 321-0634

Fax

(208) 321-1082

NPI assigned

Dec 11, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifepath Services LLCGroup PAC ID 9638487515, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Lifepath Services LLC

  dba Lifepath Counseling and Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
  • NPI 1477920270
  Medicare reassignment Care Compare group NPD
• Mountain View Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1992035364
  Medicare reassignment NPD
• Stellar Mental Health & Mediation, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nampa, ID
  • NPI 1902225436
  Medicare reassignment NPD
• Ricardo Ramirezs Counseling PLLC

  • Community/Behavioral Health Agency
  • Nampa, ID
  • NPI 1134882913
  NPD
• Blue Sky Behavioral Health

  • Clinical Social Worker
  • Nampa, ID
  • NPI 1053199778
  NPD (past)
• Mountain View Behavioral Health, PLLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1124390406
  NPD (past)

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1649645938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048616",
            "telephone_number": "208-321-0634",
            "fax_number": "208-321-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6933 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048616",
            "telephone_number": "208-321-0634",
            "fax_number": "208-321-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "N-1665A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265565477",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children's Therapy Place, Inc. (The Work Place)
• Children's Therapy Place, Inc. (Professional Therapy Services, Inc.)
• Children's Therapy Place, Inc.
• Childrens Kidney Specialists PLLC
• Denise Childs
• Elva Chinabalire
• Elvine Angeline Chinabalire
• Chinese Acupuncture & Natural Therapy Center
• Della L Chipman, LCSW
• Michael Chippolla, LCSW ACADC

• Family Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.