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MICHELLE KILCUP
NPI 1710760103
Nurse Practitioner - Family in Mobile, AL

Active since August 17, 2023PECOS Enrolled
307 N UNIVERSITY BLVD, MOBILE, AL 36688(251) 460-6101 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2026, Aug 17, 2023 (2 updates tracked since 2023).

About Michelle Kilcup NPPES

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

MICHELLE KILCUP (NPI 1710760103) is an individual family provider in Mobile, Alabama, licensed in Oregon (10063561) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1710760103
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE KILCUP
Location Address307 N UNIVERSITY BLVDMobile, AL 36688-3053
Mailing Address12830 Se Ridgecrest RdHappy Valley, OR 97086-6134
Phone(251) 460-6101
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 17, 2023
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1710760103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 10063561
Also ListedRegistered NurseTaxonomy 163W00000X · License 201703283RN (OR)
307 N UNIVERSITY BLVD, Mobile, AL 36688
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Kilcup is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628536265
PECOS Enrollment IDI20260814001120
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 Michelle Kilcup reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uptown Providers PC
2,110 mi
Urgent Care
397 WARNER MILNE RD
Oregon City, OR 97045
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1255102034 (Washington)
  • 41 clinicians in this Medicare group
NPI 1770147357 (503) 305-6262

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 36688 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 20

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

JACK JONES
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD
MOBILE, AL 36688
Mobile County (251) 341-3030
PEYTON LEE BREWER
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD
MOBILE, AL 36688
Mobile County (251) 341-3030
MEGAN RASMUSSEN
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD
MOBILE, AL 36688
Mobile County (251) 341-3030
DAVID GERALD BLACKBURN MD
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD
MOBILE, AL 36688
Mobile County (251) 341-3030
MRS. DESTINY HAMMERL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
307 N UNIVERSITY BLVD
MOBILE, AL 36688
Mobile County (845) 546-7777
ASA BARNETT
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD
MOBILE, AL 36688
Mobile County (256) 497-7680
PEYTON JACOBS
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD
MOBILE, AL 36688
Mobile County (251) 341-3030
EVELYN WU
Student in an Organized Health Care Education/Training Program
307 N UNIVERSITY BLVD
MOBILE, AL 36688
Mobile County (251) 341-3030

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 Michelle Kilcup's NPI number?

The NPI number for Michelle Kilcup is 1710760103. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Michelle Kilcup located?

Michelle Kilcup practices at 307 N University Blvd, Mobile, AL 36688. The listed phone number is (251) 460-6101.

What is Michelle Kilcup's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Kilcup enrolled in Medicare?

Yes. Michelle Kilcup is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Kilcup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Kilcup reassigns Medicare benefits to Uptown Providers PC (Oregon City, OR). 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 Michelle Kilcup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Kilcup was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.