Individual provider Active NPI

Michelle Leigh Myers, NP

  • Nurse Practitioner
  • Logansport, IN
National Provider Identifier
1114087749
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002191 Issued in IN
Practice address
3727 E Market St
Logansport, IN 46947-4589
Phone
(574) 727-2114
NPI assigned
Dec 12, 2006
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002191 IN Primary

Addresses

Primary practice location

3727 E Market St
Logansport, IN 46947-4589

Mailing address

PO Box 306417
Nashville, TN 37230-6417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070417000452 IN Practitioner - Nurse Practitioner 6901901107 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

924 W Pike St
Physicians Urgent Care
Goshen, IN 46526-2365
Phone (574) 312-7056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71002191INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC Nurse Practitioner CurrentSince Apr 25, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 18, 2024 Accepting new patients
Urgentchoice Care LLC CurrentSince Jun 27, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 18, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince Mar 1, 2022 Accepting new patients
FC Indiana, LLC CurrentSince Apr 25, 2024 Accepting new patients
Pic Indiana PC CurrentSince Jan 17, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617

1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039

900 Johnson St
#A
Elkhart, IN 46514

4111 Park Place Dr
Fort Wayne, IN 46845
Phone (260) 373-2111

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

2004 W Sycamore St
Kokomo, IN 46901
Phone (574) 780-0102

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

3727 E Market St
Logansport, IN 46947
Phone (574) 727-2114

630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

980 N Meridian St
Portland, IN 47371
Phone (260) 703-3312

1245 E Ireland Rd
#B
South Bend, IN 46614
Phone (574) 312-7022

300 Fairgrounds Rd
Tipton, IN 46072
Phone (317) 675-8791

2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128

Organizations & group practices 7

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1114087749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306417",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469474589",
            "telephone_number": "574-727-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.