Individual provider Active NPI

Michelle Michael, RN

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1013488816
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030956 Issued in OH
Practice address
3350 Collingwood Blvd
Toledo, OH 43610-1173
Phone
(419) 255-9585
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0030956 OH Primary

Addresses

Primary practice location

3350 Collingwood Blvd
Toledo, OH 43610-1173

Mailing address

3350 Collingwood Blvd
Toledo, OH 43610-1173
Phone (419) 255-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, WA, FL, SC5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220406002619 OH Practitioner - Nurse Practitioner 0749676385 Reassigns benefits to 4 organizations
I20230206000500 MI Practitioner - Nurse Practitioner 0749676385 Reassigns benefits to 1 organization
I20231010000936 WA Practitioner - Nurse Practitioner 0749676385 Reassigns benefits to 1 organization
I20241014003287 FL Practitioner - Nurse Practitioner 0749676385 Reassigns benefits to 1 organization
I20250315000001 SC Practitioner - Nurse Practitioner 0749676385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Sep 20, 2023 Accepting new patients
Molina Care Connections, LLC. CurrentSince Jan 9, 2023 Accepting new patients
Northeast Surgical Wound Care, Inc. CurrentSince Mar 8, 2022 Accepting new patients
Woundworks LLC CurrentSince Aug 5, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (904) 229-7396

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

6100 Rockside Woods Blvd N
Ste 425
Independence, OH 44131

5757 Whiteford Rd
Sylvania, OH 43560
Phone (419) 882-1875

29505 Detroit Rd
Westlake, OH 44145
Phone (440) 835-3004

7148 West Blvd
Youngstown, OH 44512
Phone (330) 530-4038

4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: mharden14213@direct-prd.molinahealthcare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1013488816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436101173",
            "telephone_number": "419-255-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 COLLINGWOOD BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436101173",
            "telephone_number": "419-255-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.