MEDICARE: MICHELE MARIE BARNETT PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G151374	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326556713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE MARIE BARNETT PMHNP-BC

Provider Business Mailing Address
First Line	:	214 BROOKS DR
Second Line	:
City	:	TOWNVILLE
State	:	SC
Zip	:	29689-3402
Country	:	US
Telephone Number	:	727-580-0564
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 5TH ST SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52401-2158
Country	:	US
Telephone Number	:	319-398-3562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2018
Last Update Date	:	10/15/2025

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