Active NPI
Michelle Monson, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1861110629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1086705
- Practice address
- 4245 N Central Expy Ste 490
Dallas, TX 75205-4231 - Phone
- (972) 454-4511
- Fax
- (972) 808-6771
- NPI assigned
- Aug 18, 2022
- Last updated
- Aug 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 73901 | ID | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10030790 | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1086705 | TX | Primary |
Addresses
Primary practice location
4245 N Central Expy Ste 490
Dallas, TX 75205-4231
Mailing address
4245 N Central Expy Ste 490
Dallas, TX 75205-4231
Phone (972) 454-4511
Other practice location 1
800 W Main St Ste 1460
Boise, ID 83702-5983
Phone (972) 454-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10030790 | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerize Psychiatry PLLC | Current | Accepting new patients | |
| Rurban PLLC | Current | Accepting new patients | |
| Bella Family Healthcare & Aesthetics | Current | Accepting new patients | |
| Locust Grove Womens Health PLLC | Past | Accepting new patients |
Locations
1545 E Leigh Field Dr
Ste 100
Meridian, ID 83646
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Meridian, ID
- NPI 1275186835
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandpoint, ID
- NPI 1043054075
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1306604699
-
dba Rurban Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sandpoint, ID
- NPI 1205556859
-
- Obstetrics & Gynecology Physician
- Meridian, ID
- NPI 1952845075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1861110629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 N CENTRAL EXPY STE 490",
"city": "DALLAS",
"state": "TX",
"postal_code": "752054231",
"telephone_number": "972-454-4511",
"fax_number": "972-808-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 N CENTRAL EXPY STE 490",
"city": "DALLAS",
"state": "TX",
"postal_code": "752054231",
"telephone_number": "972-454-4511",
"fax_number": "972-808-6771"
}
],
"practiceLocations": [
{
"address_1": "800 W Main St Ste 1460",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837025983",
"country_code": "US",
"telephone_number": "972-454-4511",
"fax_number": "972-808-6771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONSON",
"first_name": "MICHELLE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ID",
"license": "73901",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10030790",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1086705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.