Active NPI
Michelle Hinton, NP
- Nurse Practitioner
- Effingham, IL
National Provider Identifier
1972993533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209012523
- Practice address
- 109 W Jefferson Ave
Effingham, IL 62401-2344 - Phone
- (618) 780-9350
- Fax
- (618) 266-3180
- NPI assigned
- Feb 3, 2015
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209012523 | IL | Primary |
Addresses
Primary practice location
109 W Jefferson Ave
Effingham, IL 62401-2344
Mailing address
5103 Kinoka Rd
Alma, IL 62807-1221
Phone (618) 322-2243
Other practice location 1
305 W Virginia Ave
Effingham, IL 62401-2255
Phone (618) 780-9350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2021 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1972993533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5103 KINOKA RD",
"city": "ALMA",
"state": "IL",
"postal_code": "628071221",
"telephone_number": "618-322-2243",
"fax_number": "618-266-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W JEFFERSON AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012344",
"telephone_number": "618-780-9350",
"fax_number": "618-266-3180"
}
],
"practiceLocations": [
{
"address_1": "305 W Virginia Ave",
"address_purpose": "LOCATION",
"city": "Effingham",
"state": "IL",
"postal_code": "624012255",
"country_code": "US",
"telephone_number": "618-780-9350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINTON",
"first_name": "MICHELLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-03",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209012523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.