Brenda Lea Michel (NPI# 1104113893, PAC ID# 7113195793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104113893 |
| PAC ID by PECOS | 7113195793 |
| Professional Enrollment ID | I20110726000658 |
| Full Name | Brenda Lea Michel |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Address |
1900 E Lake Shore Dr Suite 330 Decatur IL 62521-3848 |
| Phone Number | 2174232889 |
| Gender | F |
| Graduation Year | 1992 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092857821 |
| Number of Group Practice Members | 376 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| 140019 | HSHS GOOD SHEPHERD HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 | 2174232889 | HSHS MEDICAL GROUP INC |
| 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 | 2177878870 | HSHS MEDICAL GROUP INC |
| 800 E Carpenter, Springfield, IL 62769-5324 | 2175446464 | HSHS MEDICAL GROUP INC |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Physicians | 372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Pulliam | Nurse Practitioner | Hshs Medical Group Inc | 4965 E Lost Bridge Rd, Decatur, IL 62521-5139 |
| Rajinder D Balasuriya | Internal Medicine | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Justin Bradley Hill | Family Medicine | Hshs Medical Group Inc | 1116 Hartman Ln, Shiloh, IL 62221-8014 |
| Sahar Yazdani | Family Medicine | Hshs Medical Group Inc | 125 E Plummer Blvd, Chatham, IL 62629-8047 |
| Paula Kay Hubbard | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Melissa Kay Edwards | Nurse Practitioner | Hshs Medical Group Inc | 2965 N Main St E, Hshs Medical Group Internal Medicine N Decatur, Decatur, IL 62526-4392 |
| Judy M Tonry | Nurse Practitioner | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Mohammed Iyoob Mohammed Ilyas | General Surgery | Hshs Medical Group Inc | 904 Medical Park Dr, Effingham, IL 62401-2193 |
| Imtiaz H Bangash | Internal Medicine | Hshs Medical Group Inc | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 |
| Krystal Gilb | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Street Address |
1900 E LAKE SHORE DR SUITE 330 |
| City | DECATUR |
| State | IL |
| Zip | 62521-3848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Childs | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 |
| Winston J Townsend | Internal Medicine | Hshs Medical Group Inc | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 |
| William R Yu | Internal Medicine | Hshs Medical Group Inc | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 |
| Bradley Kirkenir | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 |
| Julia Auton | Nurse Practitioner | Hshs Medical Group Inc | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 |
| John H Fahey | Family Medicine | Hshs Medical Group Inc | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 |
| Poornima Jayaramaiah | Endocrinology | Hshs Medical Group Inc | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 |
| Rebecca J Collier | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 |
| Jaymie L Mccammon | Clinical Social Worker | Decatur Psychiatry Ltd | 1900 E Lake Shore Dr, Suite 201, Decatur, IL 62521-3845 |
| Anna M Varvel | Certified Registered Nurse Anesthetist (crna) | Hshs Medical Group Inc | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia L Miller | Nurse Practitioner | Decatur Memorial Hospital | 4455 Us Route 36 E, Decatur, IL 62521 |
| Dana M Ray | Family Medicine | Community Health Improvement Center | 1221 E Condit St, Decatur, IL 62521-1405 |
| Charles Bedford Jr. | Optometry | 1270 S Jasper St, Decatur, IL 62521-3531 | |
| Michael J Karasis | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Nicholas Nasry Tadros | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite Ll2, Decatur, IL 62521-3803 |
| Bradley Fields Schwartz | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Naeemuddin Jatoi | Internal Medicine | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3803 |
| Carrie Ann West | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Bavikatte Shivakumar | Gastroenterology | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 |
| Virginia Ann Kerwin | Registered Dietitian Or Nutrition Professional | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3806 |
| Find all physicians in zip 62521 | |||
| City | DECATUR |
| Zip Code | 62521 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DECATUR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brenda Lea Michel.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.