MS. LISA D MICHAUX (APRN, BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639199219

MS. LISA D MICHAUX (APRN, BC) is a healthcare provider. based in Beverly hills, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, BC. They hold a License No. 4704232028 (MI). The NPI Number for MS. LISA D MICHAUX (APRN, BC) is 1639199219

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MS. LISA D MICHAUX (APRN, BC)
NPI
1639199219
Phone
(248) 594-3142
Address
31815 SOUTHFIELD RD
Enumeration Date
19 July 2006
Last Update Date
19 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
5991778292
Group Practice PAC ID
3971575929
Professional Enrollment ID
I20040816000570
Address ID
MI483072586RO441XXRDXX406
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MS. LISA D MICHAUX (APRN, BC)

  • Yoga Garden, 31815 #14, Southfield Road, Beverly Hills, Southfield Township, Oakland County, Michigan, 48009, United States

    STE 22

    BEVERLY HILLS, MI 480255471

    Phone: (248) 594-3142

    Fax: (248) 594-3249

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 139 Open Payments records for all available years, with a total value of $2,126.

Total Amount is formed as General ($2,126) + Research ($0) + Ownership ($0) = $2,126.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Lundbeck LLC ($463).

Total Amount

$2,126

General + Research + Ownership

Payments

139

Total payment records

General Amount

$2,126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040816000570INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971575929View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Nurse PractitionerMI
-MI
Mental Health CounselorMI
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

Can I use this page to confirm MS. LISA D MICHAUX (APRN, BC)'s NPI?
Yes. MS. LISA D MICHAUX (APRN, BC) is listed with NPI 1639199219 in the public NPI dataset.
Is MS. LISA D MICHAUX (APRN, BC) still practicing?
MS. LISA D MICHAUX (APRN, BC) is currently listed as active in the public NPI registry.
What healthcare role does MS. LISA D MICHAUX (APRN, BC) hold?
Scheduling teams often label MS. LISA D MICHAUX (APRN, BC) under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MS. LISA D MICHAUX (APRN, BC)?
MS. LISA D MICHAUX (APRN, BC)'s geographic hint is Beverly Hills, Michigan in our summary view.
Why does MS. LISA D MICHAUX (APRN, BC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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