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MICHEALLE G HARRISON CRNP NPI 1437167145


NPI Information

NPI: 1437167145
Provider Name: MICHEALLE G HARRISON, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
8800 WALTHER BLVD
BALTIMORE, MD
ZIP 21234
Phone: (410) 882-3240
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Michealle G Harrison, CRNP is an adult health nurse practitioner in Baltimore, MD with 20 years of experience. Michealle G Harrison, CRNP NPI is 1437167145. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

8800 WALTHER BLVD
BALTIMORE, MD
ZIP 21234-001
Phone: (410) 882-3240
Fax: (410) 661-5093

The NPI 1437167145 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)
  • Automated urinalysis test (HCPCS:81003)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthR171944MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19676-0037OTHERCAREFIRST BCBS OF DC
289234701OTHERCAREFIRST MD
3093NSE-892347-01OTHERCAREFIRST BCBS OF MD
40051OTHERBCBS DC
5P00415866MEDICARE PIN
6590LP994MEDICARE PIN
783-03374OTHEREVERCARE
8411440000MEDICAIDMARYLAND
9093NER-892347-01OTHERCAREFIRST BCBS OF MD
100943ER-892347-02OTHERCAREFIRST BCBS OF MD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.