Active NPI
Michelle S Davis, APRN, NP
- Adult Health Nurse Practitioner
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71007546A
- Practice address
- 3900 St Francis Way Ste 200
Lafayette, IN 47905-4940 - Phone
- (765) 775-2800
- Fax
- (765) 775-2831
- NPI assigned
- Oct 2, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71007546A | IN | Primary |
Addresses
Primary practice location
3900 St Francis Way Ste 200
Lafayette, IN 47905-4940
Mailing address
PO Box 153
Channahon, IL 60410-0153
Phone (630) 324-7900
Other practice location 1
1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041254596 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3900 St Francis Way
Suite 213
Lafayette, IN 47905-4938
Phone (765) 775-2800
801 Macarthur Blvd
Suite 204
Munster, IN 46321-2916
Phone (219) 836-4220
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 865-5000
Hospital & facility affiliations
- Franciscan Health Lafayette
- Franciscan Health Indianapolis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71007546A | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| University Surgeons, Inc. | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Cardiac Surgery Associates SC | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients |
Locations
7630 Solutions Ctr
Chicago, IL 60677
29980 Network Pl
Chicago, IL 60673
5819 Reliable Pkwy
Chicago, IL 60686
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
8051 S Emerson Ave
Ste 365
Indianapolis, IN 46237
Phone (317) 851-2331
8075 N Shadeland Ave
Ste 200
Indianapolis, IN 46250
Phone (317) 621-8000
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
3900 St Francis Way
Ste 213
Lafayette, IN 47905
Phone (765) 775-2800
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
3900 St Francis Way
Ste 200
Lafayette, IN 47905
Phone (765) 775-2800
801 MacArthur Blvd
Ste 204
Munster, IN 46321
Phone (219) 836-4220
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
425 Pine Ridge Blvd
Ste 220A
Wausau, WI 54401
Phone (715) 847-2070
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Downers Grove, IL
- NPI 1043269160
IN
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Surgery Physician
- Indianapolis, IN
- NPI 1316966229
-
- Clinic/Center
- Wausau, WI
- NPI 1003021452
-
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Clinic/Center
- Wausau, WI
- NPI 1235421918
-
- Obstetrics & Gynecology Physician
- Wausau, WI
- NPI 1942084199
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Wausau, WI
- NPI 1225905102
-
- Clinic/Center
- Wausau, WI
- NPI 1356576490
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1962595744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 153",
"city": "CHANNAHON",
"state": "IL",
"postal_code": "604100153",
"telephone_number": "630-324-7900",
"fax_number": "630-324-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 ST FRANCIS WAY STE 200",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479054940",
"telephone_number": "765-775-2800",
"fax_number": "765-775-2831"
}
],
"practiceLocations": [
{
"address_1": "1701 S Creasy Ln",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479054972",
"country_code": "US",
"telephone_number": "765-502-4000",
"fax_number": "765-775-2831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHELLE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "APRN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71007546A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041254596",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.