NPIMap

Individual provider Active NPI

Michele Lee Keesling, NP

  • Adult Health Nurse Practitioner
  • Galax, VA
National Provider Identifier
1659824332
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024173570 Issued in VA
Practice address
101 Doctors Park
Galax, VA 24333-2277
Phone
(276) 233-5696
Fax
(276) 601-2575
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0024173570 VA Primary

Addresses

Primary practice location

101 Doctors Park
Galax, VA 24333-2277

Mailing address

101 Doctors Park
Galax, VA 24333-2277
Phone (276) 233-5696

Other practice location 1

1785 W Lee Hwy
Wytheville, VA 24382-1437
Phone (276) 228-6499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012002745 VA Practitioner - Nurse Practitioner 2163710864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hope Medical ClinicGroup PAC ID 5496139735, 3 clinicians

Practice addresses (Care Compare)

101 Doctors Park
Galax, VA 24333-2277
Phone (276) 233-5696

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024173570VAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Medical Clinic CurrentSince May 22, 2022 Accepting new patients

Locations

101 Doctors Park
Galax, VA 24333
Phone (276) 238-0990

Interoperability endpoints

  • Direct secure messaging: michele.keesling@hmcpllc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1659824332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-233-5696",
            "fax_number": "276-601-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DOCTORS PARK",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332277",
            "telephone_number": "276-233-5696",
            "fax_number": "276-601-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1785 W Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821437",
            "country_code": "US",
            "telephone_number": "276-228-6499",
            "fax_number": "276-228-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEESLING",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024173570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

Verify at the official NPI Registry.