Michelle Lourdes Queen, FNP-C - Medicare Nurse Practitioner in Canton, GA

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Michelle Lourdes Queen, FNP-C is a medicare enrolled "Nurse Practitioner - Acute Care" in Canton, Georgia. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Primary Care Professional Services,llc and her current practice location is 460 Northside Cherokee Blvd Ste 130, Canton, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 493-2527.

Michelle Lourdes Queen is licensed to practice in Georgia (license number RN159750) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861656365.

Contact Information

Michelle Lourdes Queen, FNP-C
460 Northside Cherokee Blvd Ste 130,
Canton, GA 30115-8017
(678) 493-2527
(678) 493-5608

Map and Direction




Provider's Profile

Full NameMichelle Lourdes Queen
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location460 Northside Cherokee Blvd Ste 130, Canton, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michelle Lourdes Queen graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1861656365
  • Provider Enumeration Date: 07/14/2008
  • Last Update Date: 04/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3971645557
  • Enrollment ID: I20100120000225

Medical Identifiers

Medical identifiers for Michelle Lourdes Queen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861656365NPI-NPPES
RN159750OtherGASTATE OF GEORGIA BOARD OF NURSING
F0508073OtherGAAMERICAN ACADEMY OF NURSE PRACTITIONERS CERT PROGRAM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN159750 (Georgia)Secondary
363LA2100XNurse Practitioner - Acute Care RN159750 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital CherokeeCanton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Primary Care Professional Services,llc9638343924266

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Lourdes Queen allows following entities to bill medicare on her behalf.
Entity NamePiedmont Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548219660
PECOS PAC ID: 1951299163
Enrollment ID: O20040309000820
Entity NameNorth Atlanta Nephrology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154411437
PECOS PAC ID: 0840287868
Enrollment ID: O20040429001232
Entity NameNorthside Primary Care Professional Services,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922397553
PECOS PAC ID: 9638343924
Enrollment ID: O20111123000206
Entity NameAllatoona Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497482350
PECOS PAC ID: 7517342579
Enrollment ID: O20220913000203

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michelle Lourdes Queen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michelle Lourdes Queen, FNP-C
460 Northside Cherokee Blvd Ste 130,
Canton, GA 30115-8017

Ph: (678) 493-2527		Michelle Lourdes Queen, FNP-C
460 Northside Cherokee Blvd Ste 130,
Canton, GA 30115-8017

Ph: (678) 493-2527

Reviews and Comments


Nurse Practitioner Nurses in Canton, GA

Mrs. Holly Allen, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115
Phone: 770-292-3490    Fax: 770-721-5615
Maureen Gicharu, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115
Phone: 770-720-0610    
Dr. Julia Mcclellan Thorne, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 427 Old Orange Mill Rd, Canton, GA 30115
Phone: 678-824-5466    Fax: 888-299-4377
Mrs. Amy Marie Wheeler, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 104 Prominence Point Pkwy, Suite 104, Canton, GA 30114
Phone: 770-704-6988    Fax: 770-720-8775
Mrs. Gracelyn Ambrister Deneus, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3755 Sixes Rd, Canton, GA 30114
Phone: 404-395-0890    Fax: 470-299-9936
Mr. William Cole, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6120 Hickory Flat Hwy, Canton, GA 30115
Phone: 770-720-0610    
Kelly Marie Shirley, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115
Phone: 770-224-1400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.