Active NPI
Michelle Ann Jewell, APRN
- Family Nurse Practitioner
- Mayfield, KY
National Provider Identifier
1902189491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3007137
- Practice address
- 1111 Medical Center Cir
Mayfield, KY 42066 - Phone
- (270) 251-4055
- Fax
- (270) 251-4059
- NPI assigned
- Sep 21, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3007137 | KY | Primary |
Addresses
Primary practice location
1111 Medical Center Cir
Mayfield, KY 42066
Mailing address
1111 Medical Center Cir
Mayfield, KY 42066-1194
Phone (270) 251-4055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100187540 | Medicaid | KY |
Other names 1
- Michelle Ann Elkins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111019000119 | KY | Practitioner - Nurse Practitioner | 1850563701 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinelake Physician Practice LLC
Practice addresses (Care Compare)
1111 Medical Ctr Cir
Mayfield, KY 42066-1194
Phone (270) 251-4055
Hospital & facility affiliations
- Lifeline of Jackson Purchase Home Health
- Jackson Purchase Medical Center
- Marshall County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinelake Physician Practice, LLC | Current | Accepting new patients | |
| Pinelake Physician Practice, LLC | Current | Accepting new patients | |
| Pinelake Physician Practice, LLC | Current | Accepting new patients |
Locations
2003 S 7th St
Hickman, KY 42050
Phone (270) 236-3202
1029 Medical Center Cir
Ste 401
Mayfield, KY 42066
Phone (270) 251-4590
1111 Medical Center Cir
Mayfield, KY 42066
Phone (270) 247-8100
Interoperability endpoints
- michelle.jewell.1@19475.direct.athenahealth.com
Organizations & group practices 8
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
- Mayfield, KY
- NPI 1841900347
-
- Internal Medicine Physician
- Mayfield, KY
- NPI 1861563439
-
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1093609612
-
- Rural Health Clinic/Center
- Hickman, KY
- NPI 1205494085
-
- Rural Health Clinic/Center
- Clinton, KY
- NPI 1437614633
-
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1922645134
-
- Rural Health Clinic/Center
- Fulton, KY
- NPI 1437623337
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mayfield, KY
- NPI 1508394594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1902189491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER CIR",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "420661194",
"telephone_number": "270-251-4055",
"fax_number": "270-251-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER CIR",
"city": "MAYFIELD",
"state": "KY",
"postal_code": "42066",
"telephone_number": "270-251-4055",
"fax_number": "270-251-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWELL",
"first_name": "MICHELLE",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3007137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100187540",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "ELKINS",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mayfield, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.
- 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.