MICHELLE KATHLEEN MCCOY (DNP) – Family Nurse Practitioner, NPI 1497005433

MICHELLE KATHLEEN MCCOY (DNP) is a healthcare provider. based in Shoreview, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. R210252-4 (MN). The NPI Number for MICHELLE KATHLEEN MCCOY (DNP) is 1497005433

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE KATHLEEN MCCOY (DNP)
NPI
1497005433
Phone
(866) 389-2727
Address
3800 LEXINGTON AVE N
Enumeration Date
18 September 2012
Last Update Date
26 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6123485553
Graduation Year
2010 (16 years ago)
PAC ID
6901056928
Group Practice PAC ID
7911892849
Professional Enrollment ID
I20121026000589
Address ID
MN554051618MI165XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MICHELLE KATHLEEN MCCOY (DNP)

  • 3800 LEXINGTON AVE N

    SHOREVIEW, MN 551262916

    Phone: (866) 389-2727

    Fax: (401) 216-3854

    Type: Mailing

  • 814 S 3rd St

    Minneapolis, MN 554151208

    Phone: (612) 888-9792

    Type: Location

  • 3800 Lexington Ave N

    Shoreview, MN 551262916

    Phone: (866) 389-2727

    Fax: (401) 216-3854

    Type: Location

  • 525 PORTLAND AVE # MC963

    MINNEAPOLIS, MN 554151533

    Phone: (612) 348-5553

    Fax: (612) 466-9790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $9.

Total Amount is formed as General ($9) + Research ($0) + Ownership ($0) = $9.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Organon LLC ($9).

Total Amount

$9

General + Research + Ownership

Payments

1

Total payment records

General Amount

$9

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$9
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: 2012-10-26

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
I20121026000589INurse 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.

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

Insurance plans in this area (ZIP 55126)

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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: 7911892849View full group profile
NameSpecialtyState
Clinical PsychologistMN
Nurse PractitionerMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical PsychologistMN
Infectious DiseaseMN
Mental Health CounselorMN
-MN
Nurse PractitionerMN
-MN

Reviews

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Frequently asked questions

Does MICHELLE KATHLEEN MCCOY (DNP) have a public NPI I can cite?
Public records show MICHELLE KATHLEEN MCCOY (DNP) under NPI 1497005433.
Quick check: is MICHELLE KATHLEEN MCCOY (DNP) active?
Public NPPES data shows MICHELLE KATHLEEN MCCOY (DNP) with an active NPI status right now.
Which specialty label fits MICHELLE KATHLEEN MCCOY (DNP)?
NPPES ties MICHELLE KATHLEEN MCCOY (DNP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MICHELLE KATHLEEN MCCOY (DNP) tied to Shoreview, Minnesota?
If you are local to Shoreview, Minnesota, MICHELLE KATHLEEN MCCOY (DNP) may be relevant to your search.
Can I export MICHELLE KATHLEEN MCCOY (DNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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