Michelle Hoff
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Saint Louis, MO
NPI 1801336243 · NPPES record last updated Mar 5, 2017
Key facts
- NPI
- 1801336243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2016034745 (MO)
- Practice address
- 5300 Arsenal St
Saint Louis, MO 63139-1463 - Phone
- (314) 877-5728
- NPI assigned
- Mar 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Great Mines Health Center
Mineral Area Psychiatric Services LLC
Practice addresses (Care Compare)
1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355
203 S Washington St
Farmington, MO 63640-1836
Phone (573) 330-6468
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171012001685 | MO | Practitioner - Nurse Practitioner | 4486929759 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016034745 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leeker Enterprises Inc | Current |
Accepting new patients | |
| Great Mines Health Center | Current |
Accepting new patients | |
| Great Mines Health Center | Current |
Accepting new patients | |
| Mineral Area Psychiatric Services LLC | Current |
Accepting new patients | |
| State of Missouri | Current |
Accepting new patients | |
| State of Missouri | Current |
Accepting new patients |
Locations
607 Teaco Rd
Kennett, MO 63857
Phone (573) 888-9828
1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401
5300 Arsenal St
Saint Louis, MO 63139
Phone (314) 644-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2016034745 | MO | Yes |
Addresses
Primary practice location
5300 Arsenal St
Saint Louis, MO 63139-1463
Mailing address
10277 Bohr Rd
Mineral Point, MO 63660-9486
Phone (573) 747-6227
Other providers in Saint Louis, MO
- Shelley Hof
- John Theodore Hoff
- Kristin Hoff
- Kyle Hoff
- Mary Hoff
- Taylor Hoff
- Kristen Hoffer
- Zachary Scott Hoffer
- Abby Hoffman
- Alexander Gregory Hoffman
All providers in Saint Louis, MO · Psychiatric/Mental Health Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.