Individual provider Active NPI

Micaela Hines, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1700529559
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F348986 Issued in NY
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

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 8921220310, 10 clinicians

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

LicenseStateTypeSpecialty
F348986NYMDFamily Nurse Practitioner

Practice roles (2 of 5)

OrganizationSpecialtyStatusNew patients
Kathleen Vine MD PC CurrentSince Feb 12, 2024 Accepting new patients
Michael H Cohen MD PC PastSince Apr 24, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.