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
Mailing address1451 Hillside Dr, Clarks Summit, PA 18411-9504

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