MICHELLE F DUBUISSON (FNP-C) – Family Nurse Practitioner, NPI 1043723745

MICHELLE F DUBUISSON (FNP-C) is a healthcare provider. based in Cordova, Tennessee. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 0000023556 (TN). The NPI Number for MICHELLE F DUBUISSON (FNP-C) is 1043723745

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE F DUBUISSON (FNP-C)
NPI
1043723745
Phone
(901) 444-2852
Address
1540 APPLING CARE LN STE 105
Enumeration Date
16 November 2017
Last Update Date
29 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2399362013
Graduation Year
2017 (9 years ago)
PAC ID
6103155304
Group Practice PAC ID
3779573167
Professional Enrollment ID
I20200331003676
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

Provider Addresses for MICHELLE F DUBUISSON (FNP-C)

  • 1540 APPLING CARE LN STE 105

    CORDOVA, TN 380164947

    Phone: (901) 444-2852

    Type: Location

  • 2604, Sterling Drive, Oxford, Lafayette County, Mississippi, 38655, United States

    OXFORD, MS 386554296

    Phone: (662) 816-7577

    Type: Mailing

  • P.O. BOX 130

    SAN FIDEL, NM 870490130

    Phone: (505) 552-5300

    Fax: (505) 552-5490

    Type: Mailing

  • 80 B VETERANS BLVD

    ACOMA, NM 870348704

    Phone: (505) 552-5300

    Fax: (505) 552-5490

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-09-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190913001115INurse PractitionerTXTBD

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 38016)

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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: 3779573167View full group profile

Reviews

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Frequently asked questions

What is the registry number for MICHELLE F DUBUISSON (FNP-C)?
The registry entry for MICHELLE F DUBUISSON (FNP-C) shows NPI 1043723745.
Should I treat MICHELLE F DUBUISSON (FNP-C) as an active provider?
Patients and plans typically see MICHELLE F DUBUISSON (FNP-C) as active in the national extract.
What services align with MICHELLE F DUBUISSON (FNP-C)'s listing?
MICHELLE F DUBUISSON (FNP-C)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHELLE F DUBUISSON (FNP-C)?
MICHELLE F DUBUISSON (FNP-C) shows a connection to Cordova, Tennessee in registry-derived data.
Who maintains MICHELLE F DUBUISSON (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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