Provider Type Icon

MR. MICHAEL WORKMAN MSN PMHNP NPI 1154735140


NPI Information

NPI: 1154735140
Provider Name: MR. MICHAEL WORKMAN, MSN, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
707 N MICHIGAN ST STE 400
SOUTH BEND, IN
ZIP 46601
Phone: (574) 647-8470
Get Directions

MR. Michael Workman, MSN, PMHNP is a psychiatric/mental health nurse practitioner in South Bend, IN with 10 years of experience. MR. Michael Workman, MSN, PMHNP NPI is 1154735140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

707 N MICHIGAN ST STE 400
SOUTH BEND, IN
ZIP 46601-071
Phone: (574) 647-8470
Fax: (574) 647-8475

The NPI 1154735140 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 enumeration date for this NPI number is 6/17/2014 and was last updated on 4/14/2016.


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
1363LP0808XNurse PractitionerPsychiatric/Mental Health28130042AINDIANANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health71004997AINDIANAYes

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
1236040103MEDICARE PININDIANA
2000000882979OTHERINDIANABCBS BMG LAPORTE
3401910005MEDICARE PININDIANA
4169380010MEDICARE PININDIANA
5000000883510OTHERINDIANABCBS BMG IRELAND
6000000886472OTHERINDIANABCBS BMG BEHAVIORAL HEALTH
7000000923971OTHERINDIANABCBS BMG BEHAVIORAL HEALTH
8P01579587OTHERINDIANARR MEDICARE
956580010MEDICARE PININDIANA
10000000883509OTHERINDIANABCBS BMG MAIN STREET
11201243450MEDICAIDINDIANA

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.