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BENJAMIN DENNIS MICHAEL PMHNP
NPI 1194523423
Nurse Practitioner - Psychiatric/Mental Health in Decatur, AL

Active since March 04, 2025PECOS EnrolledAccepts Medicare Assignment
1615 KATHY LN SW STE 102, DECATUR, AL 35603(256) 701-5651(256) 429-9411 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Benjamin Dennis Michael Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN DENNIS MICHAEL PMHNP (NPI 1194523423) is an individual psychiatric/mental health provider in Decatur, Alabama, licensed in Alabama (1-151012) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cullman, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194523423
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBENJAMIN DENNIS MICHAELCredential: PMHNP
Location Address1615 KATHY LN SW STE 102Decatur, AL 35603-1026
Mailing Address600 Sun Temple DrMadison, AL 35758-8643 · (256) 975-4291
Phone(256) 701-5651
Fax(256) 429-9411
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 4, 2025
NPPES CertifiedMarch 4, 2025
✔ NPI 1194523423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AL · 1-151012
1615 KATHY LN SW STE 102, Decatur, AL 35603
Open in Google Maps ↗

Secondary Practice Location 1

Location 11985 Al Highway 157 Ste BCullman, AL 35058-1124 · Phone (256) 701-5651 · Fax (256) 429-9411

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Dennis Michael Pmhnp 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.

PECOS PAC ID1052833290
PECOS Enrollment IDI20250318001016
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Michael reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Behavioral Health, Inc.
19 mi
Psychiatry
600 SUN TEMPLE DRIVE
Madison, AL 35758
  • Reassigned Medicare billing, Alabama enrollment
  • 118 clinicians in this Medicare group
NPI 1730522699 (256) 288-3333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIEL ARMSTRONG
Counselor (Mental Health)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Morgan County (256) 701-5651
AMANDA NICOLE MORGAN CRNP
Nurse Practitioner (Family)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Morgan County (256) 701-5651
DR. YELENA V CHISTYAKOVA M.D.
Psychiatry & Neurology (Psychiatry)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Morgan County (256) 288-3333
MYRIYA COLLINS CRNP
Nurse Practitioner (Family)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Morgan County (256) 701-5651
BRIAN PATRICK KANE JR. MA, ALC, LPC
Counselor (Professional)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Morgan County (256) 701-5651
TERRI DEANN AMOS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Morgan County (256) 288-3333
KELLY A CODY CRNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Morgan County (256) 701-5651
JOYCELYN RA'TOSHA JOHNSON CRNP
Nurse Practitioner (Family)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Morgan County (256) 686-4441

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 Benjamin Michael's NPI number?

The NPI number for Benjamin Michael is 1194523423. It was assigned to this individual provider in the NPPES registry on March 4, 2025.

Where is Benjamin Michael located?

Benjamin Michael practices at 1615 Kathy Ln SW Ste 102, Decatur, AL 35603. The listed phone number is (256) 701-5651.

What is Benjamin Michael's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Benjamin Michael enrolled in Medicare?

Yes. Benjamin Michael 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.

Which organization bills Medicare for Benjamin Michael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Michael reassigns Medicare benefits to Integrated Behavioral Health, Inc. (Madison, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Michael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Michael accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Benjamin Michael as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Michael was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.