Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Hennigan

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1538699384

Michael Hennigan is a Nurse Practitioner in Clarks Summit, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Pennsylvania Department of Human Services, a 34-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017

Practice location Address checks out

1451 Hillside Dr
Clarks Summit, PA 18411-9504
Phone: (570) 586-2011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP017524 (PA)

Record details

NPI number1538699384
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 14, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pennsylvania Department Of Human Services — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clarks Summit