MICHELLE HEATH (FNP-BC) – Nurse Practitioner, NPI 1063944932
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MICHELLE HEATH (FNP-BC)
2620 N Westwood Blvd
Poplar Bluff, MO 639013396
Phone: (573) 776-9216
Type: Location
210, Northeast Tudor Road, AMLI Summit Ridge, Lee's Summit, Jackson County, Missouri, 64086, United States
LEES SUMMIT, MO 640865696
Phone: (888) 256-3814
Fax: (888) 256-9054
Type: Mailing
2620, North Westwood Boulevard, Loma Linda, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639013396
Phone: (573) 776-9216
Type: Location
PO BOX 957683
SAINT LOUIS, MO 631957683
Phone: (573) 760-8253
Fax: (314) 996-4500
Type: Mailing
534 MAPLE VALLEY DR
FARMINGTON, MO 636401981
Phone: (573) 760-8253
Fax: (314) 996-4500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $628.
Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($200).
Total Amount
$628
General + Research + Ownership
Payments
35
Total payment records
General Amount
$628
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $200 |
| Grifols USA, LLC | $84 |
| Otsuka America Pharmaceutical, Inc. | $68 |
| Braeburn Inc. | $42 |
| Amgen Inc. | $37 |
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: 2017-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170913004017 | I | Nurse Practitioner | MO | TBD |
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.
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 63901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| - | MO | |
| Mental Health Counselor | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | VA | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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