MARY KATHRYN MICHAELIS PMHNP-BC
NPI 1962267997
Nurse Practitioner - Psychiatric/Mental Health in Eastville, VA

Q: What is Mary Michaelis's NPI number?

The NPI number for Mary Michaelis is 1962267997. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Q: What is Mary Michaelis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Michaelis was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 19, 2024PECOS EnrolledAccepts Medicare Assignment

17068 LANKFORD HIGHWAY, EASTVILLE, VA 23347(757) 414-0400(757) 414-0569 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2026, Mar 10, 2026, Mar 6, 2026 (3 updates tracked since 2026).

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About Mary Kathryn Michaelis Pmhnp-bc NPPES

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

MARY KATHRYN MICHAELIS PMHNP-BC (NPI 1962267997) is an individual psychiatric/mental health provider in Eastville, Virginia, licensed in Virginia (0024190998) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962267997

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARY KATHRYN MICHAELISCredential: PMHNP-BC

Location Address17068 LANKFORD HIGHWAYEastville, VA 23347

Mailing Address20280 Market StOnancock, VA 23417-1331 · (757) 414-0400 · Fax (757) 414-0569

Phone(757) 414-0400

Fax(757) 414-0569

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 19, 2024

Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1962267997 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

Licenses✔ Licensed in VA · 0024190998✔ Licensed in AL · 2023207144

17068 LANKFORD HIGHWAY, Eastville, VA 23347

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Secondary Practice Locations 4

Location 125228 Lankford HighwayOnley, VA 23418 · Phone (757) 414-0500 · Fax (757) 414-0569

Location 25219 Lankford HwyNew Church, VA 23415-3332 · Phone (757) 414-0400 · Fax (757) 414-0569

Location 320306 Badger LnOnley, VA 23418-2001 · Phone (757) 414-0400 · Fax (757) 414-0569

Location 44049 Main StChincoteague, VA 23336-2406 · Phone (757) 414-0400 · Fax (757) 414-0569

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

Mary Kathryn Michaelis Pmhnp-bc 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 ID5890237440

PECOS Enrollment IDI20241022001752

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 Mary Michaelis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Shore Rural Health System Incorporated

Same address

Federally Qualified Health Center (FQHC)

17068 LANKFORD HIGHWAY
Eastville, VA 23347

Reassigned Medicare billing, Virginia enrollment
36 clinicians in this Medicare group

NPI 1396876975 (757) 331-1086

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 23347 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 19

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

SUZANNE E OMROD MSN, RN, ANP-BC

Nurse Practitioner (Adult Health)