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MICHAEL HENNIGAN
NPI 1538699384
Nurse Practitioner - Psychiatric/Mental Health in Clarks Summit, PA

Active since June 14, 2017PECOS EnrolledAccepts Medicare Assignment
1451 HILLSIDE DR, CLARKS SUMMIT, PA 18411(570) 586-2011 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 13, 2017, Jun 14, 2017 (3 updates tracked since 2017).

About Michael Hennigan NPPES

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

MICHAEL HENNIGAN (NPI 1538699384) is an individual psychiatric/mental health provider in Clarks Summit, Pennsylvania, licensed in Pennsylvania (SP017524) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538699384
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL HENNIGAN
Location Address1451 HILLSIDE DRClarks Summit, PA 18411-9504
Mailing Address1451 Hillside DrClarks Summit, PA 18411-9504 · (570) 586-2011
Phone(570) 586-2011
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 14, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1538699384 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 PA · SP017524
1451 HILLSIDE DR, Clarks Summit, PA 18411
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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

Michael Hennigan 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 ID1759647951
PECOS Enrollment IDI20171103001023
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.

Areas of Expertise CMS Part B claims 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
210 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
119 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18411 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 17

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

DR. CHRISTIE SWOREN PSY.D.
Psychologist (Clinical)
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-7467
DR. SUSAN C LEE M.D.
Specialist
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-7254
PA DEPTMENT OF PUBLIC WELFARE
Pharmacy (Institutional Pharmacy)
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 319-3520
MARIA C YAGER D.O.
Family Medicine
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 586-2011
DR. FRANCISCO L GARCIA JR. M.D.
Psychiatry & Neurology (Psychiatry)
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-7254
DR. JUDITH S. GOLDEN PH.D.
Psychologist
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 586-2011
DR. EUN S YOO MD
Psychiatry & Neurology (Psychiatry)
1451 HILLSIDE DR, NEWTON HALL
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 587-7254
DR. DAVID BENGT NESBIT M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
1451 HILLSIDE DR
CLARKS SUMMIT, PA 18411
Lackawanna County (570) 586-2011

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 Michael Hennigan's NPI number?

The NPI number for Michael Hennigan is 1538699384. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Michael Hennigan located?

Michael Hennigan practices at 1451 Hillside Dr, Clarks Summit, PA 18411. The listed phone number is (570) 586-2011.

What is Michael Hennigan's specialty?

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

Is Michael Hennigan enrolled in Medicare?

Yes. Michael Hennigan 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 Michael Hennigan was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.