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: August 02, 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
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

Secondary Practice Location 1

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

Accepted Insurance

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

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.

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.

Counselor (Mental Health)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Nurse Practitioner (Family)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Psychiatry & Neurology (Psychiatry)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Nurse Practitioner (Family)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Counselor (Professional)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Nurse Practitioner (Psychiatric/Mental Health)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Nurse Practitioner (Psychiatric/Mental Health)
1615 KATHY LN SW STE 102
DECATUR, AL 35603
Nurse Practitioner (Family)
1615 KATHY LN SW STE 102
DECATUR, AL 35603

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.

What insurance does Benjamin Michael accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers 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 17 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.