Individual provider Active NPI

Michelle D Dion, CPNP

  • Family Medicine Physician
  • Leominster, MA
National Provider Identifier
1073035556
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN2296733 Issued in MA
Practice address
100 Hospital Rd FL 4
Leominster, MA 01453-2253
Phone
(978) 514-6300
Fax
(978) 534-0281
NPI assigned
Jul 17, 2017
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN2296733 MA Primary

Addresses

Primary practice location

100 Hospital Rd FL 4
Leominster, MA 01453-2253

Mailing address

100 Hospital Rd FL 4
Leominster, MA 01453-2253
Phone (978) 514-6300

Other practice location 1

5 Neponset St
Worcester, MA 01606-2714
Phone (508) 368-7887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230110002023 MA Practitioner - Nurse Practitioner 2668842519 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2296733MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc Family Medicine CurrentSince Jan 17, 2023 Accepting new patients

Locations

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

5 Neponset St
Fl 12
Worcester, MA 01606
Phone (508) 852-6175

Interoperability endpoints

  • Direct secure messaging: michelle.dion.npi1073035556.reliant@direct.optumcare.masshiway.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1073035556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD FL 4",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-514-6300",
            "fax_number": "978-534-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD FL 4",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-514-6300",
            "fax_number": "978-534-0281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Neponset St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016062714",
            "country_code": "US",
            "telephone_number": "508-368-7887",
            "fax_number": "508-792-4392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DION",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "RN2296733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.