Individual ProviderXiaoxia MichelsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address926 Main St, Nashville, TN 37206-3614(615) 436-9060PECOS EnrollmentBased on the most recent information from CMS, provider Xiaoxia Michelson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1225562143Provider TypeIndividualFull NameMichelson, XiaoxiaCredentialNPGenderFemaleSole ProprietorNoEnumeration Date4/18/2017Last Updated3/21/2024Contact InformationPractice LocationPractice Address926 Main St, Nashville, TN 37206-3614Phone(615) 436-9060Fax(613) 235-9725Mailing LocationMailing Address926 Main St, Nashville, TN 37206-3614Phone(615) 436-9060Fax(615) 235-9725Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN1059256District of ColumbiaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN2371830MassachusettsCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71007040AIndianaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense0024185267VirginiaProvider IdentifiersIDDescriptionIssuerID162857DescriptionMedicaidIssuerUnlistedArizona