Individual provider Active NPI

Michael Lee Capps, FNP

  • Family Nurse Practitioner
  • Marlin, TX
National Provider Identifier
1962787614
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
640343 Issued in TX
Practice address
322 Coleman St
Marlin, TX 76661-2358
Phone
(254) 803-3561
Fax
(254) 803-6908
NPI assigned
Oct 13, 2011
Last updated
Mar 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 640343 TX Primary

Addresses

Primary practice location

322 Coleman St
Marlin, TX 76661-2358

Mailing address

1507 W Main St
Gatesville, TX 76528-1024
Phone (254) 865-2166

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MCapps@cmhs.securechart.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20150318000690 TX Practitioner - Nurse Practitioner 1153648894 Reassigns benefits to 3 organizations

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
Mid Level Health Provider Services LLCGroup PAC ID 3577712751, 2 clinicians

Practice addresses (Care Compare)

322 Coleman St
Marlin, TX 76661-2358
Phone (254) 803-3561

7005 Mira Loma LN
Suite 101
Austin, TX 78723-1411
Phone (512) 300-2455

P O Box
Suite 60
Marlin, TX 76661-0060

PO Box
Suite 60
Marlin, TX 76661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
640343TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coryell County Memorial Hospital Authority CurrentSince Nov 8, 2018 Accepting new patients
Coryell County Memorial Hospital Authority CurrentSince Nov 8, 2018 Accepting new patients
Mid Level Health Provider Services LLC CurrentSince Mar 17, 2020 Accepting new patients
Coryell County Memorial Hospital Authority Current Accepting new patients
Knox County Hospital District Past Accepting new patients
Knox County Hospital District Past Accepting new patients

Locations

7005 Mira Loma Ln
Ste 101
Austin, TX 78723
Phone (254) 640-9581

1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251

Interoperability endpoints

  • Direct secure messaging: mcapps@cmhs.securechart.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1962787614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-865-2166",
            "fax_number": "254-248-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COLEMAN ST",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766612358",
            "telephone_number": "254-803-3561",
            "fax_number": "254-803-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPPS",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-13",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "640343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MCapps@cmhs.securechart.com",
            "affiliation": "N",
            "endpointDescription": "Coryell Health Direct Messaging Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1507 W Main St",
            "city": "Gatesville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765281024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlin, TX

Sources for this page

Verify at the official NPI Registry.