Michelle Reed, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Muskegon, MI
NPI 1952898686 · NPPES record last updated Nov 2, 2018
Key facts
- NPI
- 1952898686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 4704250532 (MI)
- Practice address
- 125 E Southern Ave
Muskegon, MI 49442-5041 - Phone
- (231) 726-3582
- Fax
- (231) 722-6933
- NPI assigned
- Apr 18, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Partners
Practice addresses (Care Compare)
125 E Southern Ave
Suite 120
Muskegon, MI 49442-5042
Phone (231) 672-4950
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180524000616 | MI | Practitioner - Nurse Practitioner | 5698030591 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704250532 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary'S Medical Group | Nurse Practitioner | Current |
Accepting new patients |
| Advantage Health Saint Mary'S Medical Group | Current |
Accepting new patients | |
| Mercy Health Partners | Current |
Accepting new patients | |
| Mercy Health Partners | Current |
Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
125 E Southern Ave
#120
Muskegon, MI 49442
Phone (231) 672-4950
125 E Southern Ave
Muskegon, MI 49442
Phone (231) 724-3699
71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704250532 | MI | Yes |
Addresses
Primary practice location
125 E Southern Ave
Muskegon, MI 49442-5041
Mailing address
125 E Southern Ave
Muskegon, MI 49442-5041
Phone (231) 726-3582
Other providers in Muskegon, MI
- Reconciliation Counseling Services LLC
- Swan Marie Reddy
- Christopher M Rederstorf
- Kristine Lynn Redmon
- Hannah Reed
- Nathan Paul Reed
- Sarah Jean Reed
- Amelia Reelman
- Clay Woodrow Reeves Jr.
- Bruce A Reichardt
All providers in Muskegon, MI · Psychiatric/Mental Health Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.