Individual provider Active NPI

Michelle Kathleen Hensley, DNP, APRN-CNP, CPNP

  • Nurse Practitioner
  • Mount Morris, MI
National Provider Identifier
1861950735
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704407490 Issued in MI
Practice address
6255 Neff Rd
Mount Morris, MI 48458-2761
Phone
(810) 591-9333
NPI assigned
Mar 8, 2019
Last updated
Nov 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704407490 MI Primary
Pediatric Nurse Practitioner 363LP0200X 134065 OK

Addresses

Primary practice location

6255 Neff Rd
Mount Morris, MI 48458-2761

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

3231 Healthplex Dr.
Norman, OK 73072
Phone (405) 321-5114 ext. 3239

Other names 1

  • Michelle Kathleen Spehr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002299 MI Practitioner - Nurse Practitioner 1658720131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704407490MIMDNurse Practitioner
134065OKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Nurse Practitioner CurrentSince Nov 28, 2023 Accepting new patients
Regents of the University of Michigan Nurse Practitioner Current Accepting new patients
Regents of the University of Michigan CurrentSince Nov 28, 2023 Accepting new patients
Norman Pediatric Associates PastSince Jan 1, 2020 Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

6255 Neff Rd
Mount Morris, MI 48458
Phone (810) 591-9333

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1861950735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 NEFF RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484582761",
            "telephone_number": "810-591-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 Healthplex Dr.",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "73072",
            "country_code": "US",
            "telephone_number": "405-321-5114 x3239",
            "fax_number": "405-321-6482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "MICHELLE",
        "middle_name": "KATHLEEN",
        "credential": "DNP, APRN-CNP, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704407490",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "134065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SPEHR",
            "middle_name": "KATHLEEN",
            "credential": "DNP, APRN-CNP, CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Morris, MI

Sources for this page

Verify at the official NPI Registry.