Individual provider Active NPI

Michelle M Hill, DO

  • Psychiatry Physician
  • Rolla, MO
National Provider Identifier
1679894232
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2018015073 Issued in MO
Practice address
575B Blues Lake Pkwy
Rolla, MO 65401
Phone
(573) 364-2007
Fax
(573) 202-2455
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2018015073 MO Primary

Addresses

Primary practice location

575B Blues Lake Pkwy
Rolla, MO 65401

Mailing address

1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 1

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0522

Other practice location 2

575B Blues Lake Pkwy
Rolla, MO 65401
Phone (573) 364-2007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180706000192 MO Practitioner - Psychiatry 6800159757 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pcrmc Medical Group IncGroup PAC ID 1557454063, 113 clinicians
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

1000 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000

16020 Swingley Ridge Rd
Suite 300
Chesterfield, MO 63017-2085
Phone (636) 939-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Dec 1, 2023 Accepting new patients
Phelps County Regional Medical Center CurrentSince Oct 28, 2023 Accepting new patients
Compass Health, Inc CurrentSince Dec 1, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC Psychiatry CurrentSince Apr 1, 2022 Accepting new patients

Locations

16020 Swingley Ridge Rd
Ste 300
Chesterfield, MO 63017
Phone (636) 432-5000

1800 Community
#B
Clinton, MO 64735

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

2458 Old Dorsett Rd
Ste 110
Maryland Heights, MO 63043
Phone (314) 476-0732

575B Blues Lake Pkwy
Rolla, MO 65401
Phone (573) 364-2007

1450 E 10th St
Rolla, MO 65401
Phone (573) 364-7551

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

5301 Veterans Memorial Pkwy
Ste 105
Saint Peters, MO 63376
Phone (314) 806-1770

425 S Woods Mill Rd
Ste 150
Town and Country, MO 63017
Phone (314) 269-0335

Interoperability endpoints

  • Direct secure messaging: adv.michellehill@140753.advancedmd-direct.com

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": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1679894232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-364-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575B BLUES LAKE PKWY",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "65401",
            "telephone_number": "573-364-2007",
            "fax_number": "573-202-2455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4430 Missouri Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Leonard Wood",
            "state": "MO",
            "postal_code": "654739098",
            "country_code": "US",
            "telephone_number": "573-596-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575B Blues Lake Pkwy",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "65401",
            "country_code": "US",
            "telephone_number": "573-364-2007",
            "fax_number": "573-202-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2018015073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.