Michelle S Mix, FNP is a
Nurse Practitioner - Family based in College Dale, Tennessee. Michelle S Mix is licensed to practice in Tennessee (license number 19827) and her current practice location is
4687 University Dr, College Dale, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 236-2713.
NPI number for Michelle S Mix is 1326319013 and her current mailing address is Po Box 370, Collegedale, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326319013.
Provider's Profile
| Full Name | Michelle S Mix |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 4687 University Dr, College Dale, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326319013
- Provider Enumeration Date: 01/26/2012
- Last Update Date: 04/15/2026
Medical Identifiers
Medical identifiers for Michelle S Mix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1326319013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 19827 (Tennessee) | Primary |
| 363LF0000X | Nurse Practitioner - Family | R 204496-7 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle S Mix is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michelle S Mix, FNP Po Box 370, Collegedale, TN 37315-0370 Ph: (423) 236-2713 | Michelle S Mix, FNP 4687 University Dr, College Dale, TN 37363-8472 Ph: (423) 236-2713 |
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