Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mary Kathryn Michaelis, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1962267997

Mary Kathryn Michaelis, PMHNP-BC is a Nurse Practitioner in Eastville, Virginia. Qualified in 2023, 3 years ago. Practices with Eastern Shore Rural Health System Incorporated, a 39-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Alabama and Virginia.

Years since qualifying
3
Licensed in
AL, VA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

17068 Lankford Hwy
Eastville, VA 23347
Phone: (757) 414-0400
Fax: (757) 414-0569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 4049 Main St, Chincoteague, VA 23336-2406 — (757) 414-0400
  • 5219 Lankford Hwy, New Church, VA 23415-3332 — (757) 414-0400
  • 25228 Lankford Highway, Onley, VA 23418 — (757) 414-0500
  • 20306 Badger Ln, Onley, VA 23418-2001 — (757) 414-0400

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024190998 (VA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2023207144 (AL)

Record details

NPI number1962267997
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedFebruary 19, 2024
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Eastern Shore Rural Health System Incorporated — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Eastern Shore Rural Health System Incorporated

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 39 clinicians in the practice; 12 are shown here.