Individual provider Active NPI

Michelle L Vissing, APRN

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1740849637
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009198A Issued in IN
Practice address
443 Spring St Ste 200
Jeffersonville, IN 47130-4494
Phone
(812) 288-8360
Fax
(812) 288-8375
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 71009198A IN Primary

Addresses

Primary practice location

443 Spring St Ste 200
Jeffersonville, IN 47130-4494

Mailing address

443 Spring St Ste 200
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

Other practice location 1

443 Spring St Ste 301
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

Other identifiers 2

IdentifierTypeStateIssuer
300029064MedicaidIN
7100612020MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190814000354 IN Practitioner - Nurse Practitioner 0941537906 Reassigns benefits to 1 organization
I20190827000599 KY Practitioner - Nurse Practitioner 0941537906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizons Physical Therapy Limited PartnershipGroup PAC ID 4183641608, 77 clinicians
Louisville Geriatric AssociatesGroup PAC ID 1557380086, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

2125 State St
New Albany, IN 47150-4972

443 Spring St
Suite 301
Jeffersonville, IN 47130-4494
Phone (812) 288-8360

920 S 4TH St
Louisville, KY 40203-3206
Phone (812) 288-8360

Hospital & facility affiliations

  • Vna Health at Home Home health agency, Clarksville, IN, CCN 157584
  • Carefirst Rehab LLC Home health agency, Sellersburg, IN, CCN 157657
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

Merit-based Incentive Payment System (MIPS)

Final score
99.41 of 100Reported as group
Quality
95.65
Promoting interoperability
100
Improvement activities
40
Cost
69.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
71009198AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Geriatric Associates Family CurrentSince Jul 24, 2019 Accepting new patients
Louisville Geriatric Associates Family CurrentSince Jul 24, 2019 Accepting new patients

Locations

443 Spring St
Ste 301
Jeffersonville, IN 47130

443 Spring St
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 288-8375

73 Quartermaster Ct
Jeffersonvlle, IN 47130
Phone (812) 284-0077

923 Eastern Star Ct
Louisville, KY 40204
Phone (502) 451-3535

920 S 4th St
Louisville, KY 40203
Phone (502) 254-4200

Interoperability endpoints

  • Direct secure messaging: michelle.vissing.1@8360.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8360/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1740849637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 SPRING ST STE 200",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 SPRING ST STE 200",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304494",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "443 Spring St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471304494",
            "country_code": "US",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISSING",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009198A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300029064",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100612020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.