Individual provider Active NPI

Michelle Tinsley, CNP-FNP

  • Family Nurse Practitioner
  • Temple, TX
National Provider Identifier
1972784577
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143792 Issued in TX
Practice address
4501 S General Bruce Dr Ste 75
Temple, TX 76502-1466
Phone
(800) 423-2111
Fax
(254) 771-9454
NPI assigned
Nov 25, 2007
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 AP143792 TX Primary

Addresses

Primary practice location

4501 S General Bruce Dr Ste 75
Temple, TX 76502-1466

Mailing address

4501 S General Bruce Dr Ste 75
Temple, TX 76502-1466
Phone (800) 423-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130912000052 PA Order and Referring Only - Nurse Practitioner 3870775919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP143792TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1972784577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 S GENERAL BRUCE DR STE 75",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021466",
            "telephone_number": "800-423-2111",
            "fax_number": "254-771-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 S GENERAL BRUCE DR STE 75",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765021466",
            "telephone_number": "800-423-2111",
            "fax_number": "254-771-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "MICHELLE",
        "credential": "CNP-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-25",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.