Provider Type Icon

MRS. MICHELLE L. HOMESLEY FNP NPI 1336461268


NPI Information

NPI: 1336461268
Provider Name: MRS. MICHELLE L. HOMESLEY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: SPRINGFIELD NEPHROLOGY ASSOCIATES INC

PECOS Registration: Yes

Address:
1911 S NATIONAL AVE
SUITE 301
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 886-5000
Get Directions

MRS. Michelle L. Homesley, FNP is a family nurse practitioner in Springfield, MO with 15 years of experience. MRS. Michelle L. Homesley, FNP NPI is 1336461268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1911 S NATIONAL AVE
SUITE 301
SPRINGFIELD, MO
ZIP 65804-213
Phone: (417) 886-5000
Fax: (417) 886-1100

The NPI 1336461268 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.

  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)

The enumeration date for this NPI number is 2/19/2010 and was last updated on 5/25/2010.


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
1363LF0000XNurse PractitionerFamily2010005645MISSOURIYes

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
11336461268MEDICARE OSCAR/CERTIFICATION
21336461268MEDICAIDMISSOURI
31336461268MEDICARE UPIN
41336461268MEDICARE PIN
51336461268MEDICARE NSC

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: 11/14/2023

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.