Individual provider Active NPI

Michelle Renee Bagley, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1700247145
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-114191 Issued in AL
Practice address
1112 Gene Reed Rd
Birmingham, AL 35235-2405
Phone
(205) 836-2942
Fax
(205) 836-2946
NPI assigned
Mar 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-114191 AL
Adult Health Nurse Practitioner 363LA2200X 1-114191 AL Primary
Acute Care Nurse Practitioner 363LA2100X 1-114191 AL

Addresses

Primary practice location

1112 Gene Reed Rd
Birmingham, AL 35235-2405

Mailing address

4200 Colonnade Pkwy
Birmingham, AL 35243-2342
Phone (205) 971-7613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20160506001445 AL Practitioner - Nurse Practitioner 4385943786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

1112 Gene Reed Rd
Birmingham, AL 35235-2405
Phone (205) 836-2942

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Institute of Birmingham, PC CurrentSince Mar 10, 2016 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2020 Accepting new patients
Affinity Physician Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Vascular Institute of Birmingham, PC CurrentSince Mar 10, 2016 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1112 Gene Reed Rd
Birmingham, AL 35235
Phone (205) 836-2942

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

2660 10th Ave S
Ste 608
Birmingham, AL 35205
Phone (205) 918-9181

619 19th St S
Birmingham, AL 35249

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/
  • Direct secure messaging: michelle.bagley.1@9954.direct.athenahealth.com

Organizations & group practices 4

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": "1457827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1700247145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432342",
            "telephone_number": "205-971-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 GENE REED RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352405",
            "telephone_number": "205-836-2942",
            "fax_number": "205-836-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-13",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-114191",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-114191",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-114191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.