Individual provider Active NPI

Carmen Elaine Michaels, NP

  • Primary Care Nurse Practitioner
  • Oakhurst, CA
National Provider Identifier
1982894135
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
17245 Issued in CA
Practice address
48677 Victoria LN
Suite 201B
Oakhurst, CA 93644-9216
Phone
(559) 683-2711
Fax
(559) 683-0672
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17245NP CA
Family Nurse Practitioner 363LF0000X 25471 WY
Primary Care Nurse Practitioner 363LP2300X 17245 CA Primary

Addresses

Primary practice location

48677 Victoria LN
Suite 201B
Oakhurst, CA 93644-9216

Mailing address

48677 Victoria LN
Suite 201B
Oakhurst, CA 93644-9216
Phone (559) 683-2711

Other identifiers 2

IdentifierTypeStateIssuer
10025540500MedicaidNE
21602069MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081202000764 CA Practitioner - Nurse Practitioner 8224103528 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17245NPCAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Nov 16, 2021 Accepting new patients
Camarena Health CurrentSince Nov 16, 2021 Accepting new patients
Camarena Health Family Current Accepting new patients
Oakhurst Emergency Medicine Group Past Accepting new patients

Locations

35324 Highway 41
Ste A
Coarsegold, CA 93614
Phone (559) 222-6500

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1982894135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48677 VICTORIA LN",
            "address_2": "SUITE 201B",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449216",
            "telephone_number": "559-683-2711",
            "fax_number": "559-683-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48677 VICTORIA LN",
            "address_2": "SUITE 201B",
            "city": "OAKHURST",
            "state": "CA",
            "postal_code": "936449216",
            "telephone_number": "559-683-2711",
            "fax_number": "559-683-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "CARMEN",
        "middle_name": "ELAINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17245NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "25471",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "17245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025540500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21602069",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, CA

Sources for this page

Verify at the official NPI Registry.