Michelle Marie Anderson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP-802A Issued in ID

Practice address

1207 Michigan St
Suite C
Sandpoint, ID 83864-6608

Phone

(208) 265-2221

Fax

(208) 265-2229

NPI assigned

May 22, 2006

Last updated

Feb 14, 2013By 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

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963

  Corporate Director

  CMS ownership
• Bonner General Hospital, Inc.

  dba Bonner Community Hospice

  • Community Based Hospice Care Agency
  • Sandpoint, ID
  • NPI 1073562591

  Corporate Director

  CMS ownership

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.

• Idaho State University

  dba Idaho State University Speech & Hearing Clinic

  • Audiologist
  • Pocatello, ID
  • NPI 1952474777
  Medicare reassignment NPD
• Idaho State University

  • Community/Retail Pharmacy
  • McCammon, ID
  • NPI 1083393284
  NPD
• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  NPD (past)
• Idaho State University

  • Primary Care Nurse Practitioner
  • Meridian, ID
  • NPI 1962095711
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1922053883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 MICHIGAN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838646608",
            "telephone_number": "208-265-2221",
            "fax_number": "208-265-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 MICHIGAN ST",
            "address_2": "SUITE C",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838646608",
            "telephone_number": "208-265-2221",
            "fax_number": "208-265-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP-802A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kathleen Ambridge, AMFT
• F. Blake Ambridge, DC.,DACNB
• American Oncology Partners, P.a. (Summit Cancer Centers)
• Ampersand Empire LLC (Momentum Medical Massage and Personal Training)
• Julie Anderson Dennis
• Steven E Anderson, DDS, PA
• Andrew F. Martinssen DDS, Inc. PC (Sandpoint Dental Care)
• Apollo Med Anesthesia PLLC
• Janie Arambarri, MSW
• Susan Christine Arima, LIC. ACUPUNCTURITST

• Nurse Practitioner in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.