MICHELLE J. ANDERSEN C.F.N.P. – NPI #1386673853
Nurse Practitioner

MICHELLE ANDERSEN is a nurse practitioner located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1386673853 to MICHELLE ANDERSEN on June 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family

The NPI profile was previously updated about 5 years ago on Apr 05, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHELLE ANDERSEN below.

NPI Profile for
MICHELLE J. ANDERSEN

NPI Number
1386673853
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MICHELLE J. ANDERSEN
Credentials
C.F.N.P.
Primary location
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone: (616) 363-7272 Fax: (616) 361-5828
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MICHELLE ANDERSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI4466209
MEDICAIDMI1639253784
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LF0000X
- Nurse Practitioner / Family (Primary)
MI 4704217093

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHELLE ANDERSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • MCLAREN CENTRAL MICHIGAN
      1221 SOUTH DRIVE
      MOUNT PLEASANT, MI 48858
    • MCLAREN GREATER LANSING
      401 W GREENLAWN AVE
      LANSING, MI 48910
    • MEMORIAL HEALTHCARE
      826 WEST KING STREET
      OWOSSO, MI 48867

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.