Individual provider Active NPI

Michelle Louise Willson, APRN, FNP

  • Family Nurse Practitioner
  • Wellington, UT
National Provider Identifier
1700699790
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7386494-4405 Issued in UT
Practice address
PO Box 276
Wellington, UT 84542-0276
Phone
(435) 820-0263
NPI assigned
Jan 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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 7386494-4405 UT Primary

Addresses

Primary practice location

PO Box 276
Wellington, UT 84542-0276

Mailing address

PO Box 276
Wellington, UT 84542-0276
Phone (435) 820-0263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20250521003437 UT Practitioner - Nurse Practitioner 4183961477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castleview Physician Practice LLCGroup PAC ID 6305995598, 17 clinicians

Practice addresses (Care Compare)

317 E 100
Price, UT 84501-2504
Phone (435) 637-3584

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Hospice, LLC Current Accepting new patients
Castleview Physician Practice LLC Current Accepting new patients
Castleview Physician Practices, LLC CurrentSince May 1, 2025 Accepting new patients
Elevate Home Health LLC Current Accepting new patients
Castleview Physician Practice, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

317 E 100 N
Price, UT 84501
Phone (435) 637-3584

945 W Hospital Dr
Ste 1
Price, UT 84501
Phone (435) 637-4327

Interoperability endpoints

  • Direct secure messaging: michelle.willson.1@19848.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elevate Home Health LLCPrice, UT, CCN 467359 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Director
W-2 Managing Employee
Dec 20, 2023
Jun 26, 2018
Jun 26, 2018
Elevate Hospice LLCPrice, UT, CCN 461634 Hospice 5% Or Greater Direct Ownership Interest (50%)
Corporate Director
W-2 Managing Employee
Dec 20, 2023
Sep 21, 2020
Dec 20, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1700699790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "WELLINGTON",
            "state": "UT",
            "postal_code": "845420276",
            "telephone_number": "435-820-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "WELLINGTON",
            "state": "UT",
            "postal_code": "845420276",
            "telephone_number": "435-820-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLSON",
        "first_name": "MICHELLE",
        "middle_name": "LOUISE",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7386494-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, UT

Sources for this page

Verify at the official NPI Registry.