Individual provider Active NPI

Michelle Powers, CNM

  • Advanced Practice Midwife
  • Alexandria, VA
National Provider Identifier
1790196152
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F00167 Issued in NY
Practice address
4660 Kenmore Ave Ste 902
Alexandria, VA 22304-1306
Phone
(703) 370-4300
Fax
(703) 370-1683
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F00167 NY Primary

Addresses

Primary practice location

4660 Kenmore Ave Ste 902
Alexandria, VA 22304-1306

Mailing address

4660 Kenmore Ave Ste 902
Alexandria, VA 22304-1306
Phone (703) 370-4300

Other practice location 1

42 Montcalm St
Oswego, NY 13126-1321
Phone (315) 343-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170614002340 DC Practitioner - Certified Nurse Midwife (CNM) 1951679000 Reassigns benefits to 2 organizations
I20201221002839 VA Practitioner - Certified Nurse Midwife (CNM) 1951679000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians

Practice addresses (Care Compare)

12508 Lake Ridge Dr
Woodbridge, VA 22192-2354
Phone (703) 370-4300

4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1306
Phone (703) 370-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
F00167NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Oswego County OB-GYN PC PastSince Aug 7, 1998 Accepting new patients
The Physician and Midwife Collaborative Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.powers.1@7917.direct.athenahealth.com

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1790196152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 902",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-370-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 902",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-370-4300",
            "fax_number": "703-370-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 Montcalm St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131261321",
            "country_code": "US",
            "telephone_number": "315-343-2590",
            "fax_number": "315-343-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWERS",
        "first_name": "MICHELLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F00167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.