Active NPI
Michelle A. Neeshan, APRN, FNP
- Nurse Practitioner
- Lincoln City, OR
National Provider Identifier
1831334077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10011585
- Practice address
- 825 NW Highway 101 Ste a
Lincoln City, OR 97367-3241 - Phone
- (541) 996-7480
- NPI assigned
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 195316-4405 | UT | |
| Nurse Practitioner | 363L00000X | 10011585 | OR | Primary |
Addresses
Primary practice location
825 NW Highway 101 Ste a
Lincoln City, OR 97367-3241
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
4600 S Redwood Rd # Stc048
Taylorsville, UT 84123-3145
Phone (801) 957-4347
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mneeshan300769@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.65 of 100
- Quality
- 86.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan North Lincoln Hospital | Past | Accepting new patients |
Interoperability endpoints
- mneeshan300769@samhealth.direct-ci.com
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Lincoln City, OR
- NPI 1396893327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1831334077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NW HIGHWAY 101 STE A",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973673241",
"telephone_number": "541-996-7480"
}
],
"practiceLocations": [
{
"address_1": "4600 S Redwood Rd # Stc048",
"address_purpose": "LOCATION",
"city": "Taylorsville",
"state": "UT",
"postal_code": "841233145",
"country_code": "US",
"telephone_number": "801-957-4347",
"fax_number": "801-957-4341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEESHAN",
"first_name": "MICHELLE",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "APRN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "195316-4405",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "10011585",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mneeshan300769@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "825 NW Highway 101 Ste A",
"city": "Lincoln City",
"state": "OR",
"country_code": "US",
"postal_code": "973673241",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.