MICHELE LYNN GOUGH NP
NPI 1093716995
Nurse Practitioner in Phoenix, AZ
About Michele Lynn Gough Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELE LYNN GOUGH NP (NPI 1093716995) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (AP2160) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michele Lynn Gough Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michele Gough's NPI number?
The NPI number for Michele Gough is 1093716995. It was assigned to this individual provider in the NPPES registry on August 2, 2005. The provider is also known as Michele Lynn Lytle.
Where is Michele Gough located?
Michele Gough practices at 5777 E Mayo Blvd, Phoenix, AZ 85054. The listed phone number is (480) 301-8000.
What is Michele Gough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Michele Gough enrolled in Medicare?
Yes. Michele Gough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Michele Gough was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michele Lynn Gough, NP · NPI 1093716995
Nurse Practitioner physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since August 2, 2005.
## Identity
- **NPI:** 1093716995 (Entity type: Individual)
- **Enumerated:** August 2, 2005
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP2160 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 5777 E MAYO BLVD, Phoenix, AZ 85054-4502
- **Phone:** (480) 301-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** September 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1093716995) · Data from the CMS NPPES public registry.