Michelle A Hirschy, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201500849NP-PP Issued in OR

Practice address

236 NW Kingwood Ave
Redmond, OR 97756-1324

Phone

(541) 548-7134

Fax

(541) 278-8350

NPI assigned

Nov 21, 2013

Last updated

Jun 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2020 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Vitality Functional Medicine LLC

  • Family Nurse Practitioner
  • Bend, OR
  • NPI 1821517954
  NPD (past)

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1871923276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090670",
            "telephone_number": "541-548-7134",
            "fax_number": "541-278-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 NW KINGWOOD AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561324",
            "telephone_number": "541-548-7134",
            "fax_number": "541-278-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHY",
        "first_name": "MICHELLE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-21",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201500849NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R187700",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• High Desert Spine
• High Desert Women's Care
• Highland Park Pharmacy LLC (Redmond Pharmacy and Compounding Center)
• Alan C Hilles, MD
• Jacqueline Hinds
• Jacob Hodges, DPT
• Candice Lynn Hodson
• Annabella Hoffman
• Charlene Hoffmeister, M.S. CCC-SLP
• Justin Hoggarth, PT, DPT

• Family Nurse Practitioner in Redmond, OR
• Providers in Redmond, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.