MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.) – Adult Health Nurse Practitioner, NPI 1063490134

MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.) is a healthcare provider. based in Edina, Minnesota. specializing in Adult Health Nurse Practitioner. They hold the professional credentials N.P.. They hold a License No. R953047 (MN). The NPI Number for MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.) is 1063490134

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.)
NPI
1063490134
Phone
(952) 942-7569
Address
6521 MCCAULEY
Enumeration Date
9 January 2006
Last Update Date
30 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
0345225124
Group Practice PAC ID
1951213057
Professional Enrollment ID
I20110317000567
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.)

  • 6521, McCauley Trail West, Indian Hills, Edina, Hennepin County, Minnesota, 55439, United States

    EDINA, MN 554391028

    Phone: (952) 942-7569

    Fax: (612) 273-9945

    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 12 Open Payments records for all available years, with a total value of $1,148.

Total Amount is formed as General ($1,148) + Research ($0) + Ownership ($0) = $1,148.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Medtronic, Inc. ($1,148).

Total Amount

$1,148

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,148

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$1,148
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: 2011-03-17

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
I20110317000567INurse PractitionerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7252$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4239$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3937$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th3517$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2519$0
View full utilization report →

Insurance plans in this area (ZIP 55439)

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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: 1951213057View full group profile

Reviews

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Frequently asked questions

What identifier follows MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.) across health systems?
The NPI 1063490134 uniquely identifies MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.) in U.S. healthcare data.
Is MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.)'s NPI status active today?
Active status means MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.)'s NPI record is not deactivated in the public file.
What does the directory say MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.) does?
Insurance directories may phrase it differently, but here MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.)?
MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.) shows a connection to Edina, Minnesota in registry-derived data.
Can I export MS. MICHELLE MADELINE LAVELLE-HENRY (N.P.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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