Active NPI
Micaela Hines, NP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1700529559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F348986
- Practice address
- 161 Ft Washingtn Ave
New York, NY 10032-3729 - Phone
- (212) 305-5293
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F348986 | NY | Primary |
Addresses
Primary practice location
161 Ft Washingtn Ave
New York, NY 10032-3729
Mailing address
2244 Jackson Ave Apt 4403
Long Island City, NY 11101-9476
Phone (791) 635-5048
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mh4277@cumc.Columbia.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240402001721 | NY | Practitioner - Nurse Practitioner | 3274971882 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kathleen Vine MD PC
Practice addresses (Care Compare)
928 Broadway
Suite 301
New York, NY 10010-8156
Phone (646) 421-6064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F348986 | NY | MD | Family Nurse Practitioner |
Practice roles (2 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen Vine MD PC | Current | Accepting new patients | |
| Michael H Cohen MD PC | Past | Accepting new patients |
Locations
928 Broadway
Ste 301
New York, NY 10010
Phone (646) 421-6064
9 E 8th St
#255
New York, NY 10003
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- mh4277@cumc.columbia.edu
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1164760393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1700529559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2244 JACKSON AVE APT 4403",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111019476",
"telephone_number": "791-635-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FT WASHINGTN AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323729",
"telephone_number": "212-305-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "MICAELA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F348986",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mh4277@cumc.Columbia.edu",
"affiliation": "N",
"endpointDescription": "CUIMC messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "161 Ft Washingtn Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100323729",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.