MICHAEL HENNELLY MD - NPI 1871553933 - Family Medicine in Jemez Pueblo, NM

Q: What is Michael Hennelly's NPI number?

The NPI number for Michael Hennelly is 1871553933. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Q: What is Michael Hennelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Hennelly was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Michael Hennelly Md NPPES

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

MICHAEL HENNELLY MD (NPI 1871553933) is an individual family medicine provider in Jemez Pueblo, New Mexico, licensed in New Mexico (75-167) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (1974).

NPPES Registry Identity

NPI1871553933

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL HENNELLYCredential: MD

Location Address110 SHEEP SPRINGSJemez Pueblo, NM 87024-0279

Mailing AddressPo Box 279Jemez Pueblo, NM 87024-0279 · (575) 834-7413 · Fax (575) 834-7517

Phone(575) 834-7413

Fax(575) 834-7517

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1974

Enumeration DateMarch 24, 2006

Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1871553933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NM · 75-167

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

110 SHEEP SPRINGS, Jemez Pueblo, NM 87024

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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 Hennelly Md 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 ID3577515808

PECOS Enrollment IDI20151210001969

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 87024 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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 8

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

FRANK FIDEL FRAGUA LADAC

Counselor (Addiction (Substance Use Disorder))