Individual provider Active NPI

Michele Marie Pirc, CNP

  • Nurse Practitioner
  • Mentor, OH
National Provider Identifier
1124045919
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP-03495 Issued in OH
Practice address
9485 Mentor Avenue
Suite 210
Mentor, OH 44060
Phone
(440) 255-5571
Fax
(440) 205-5744
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 NP-03495 OH Primary

Addresses

Primary practice location

9485 Mentor Avenue
Suite 210
Mentor, OH 44060

Mailing address

9485 Mentor Ave 210
Mentor, OH 44060-8723
Phone (440) 205-5883

Other practice location 1

5301 E Heisley Rd
Mentor, OH 44060
Phone (440) 392-9550

Other identifiers 1

IdentifierTypeStateIssuer
P0437195OtherOHMEDICARE RAILROAD PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michele.pirc@lhpg.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050503000573 OH Practitioner - Nurse Practitioner 8820037492 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP-03495OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health, Inc CurrentSince Jul 31, 2023 Accepting new patients
Lake Hospital System Inc Nurse Practitioner Current Accepting new patients
Signature Health, Inc. Current Accepting new patients
Lake Hospital System, Inc CurrentSince Aug 1, 2015 Accepting new patients
Lake Hospital System, Inc CurrentSince Aug 1, 2015 Accepting new patients
Signature Health Inc CurrentSince Jul 31, 2023 Accepting new patients
Qofl Services LLC Nurse Practitioner Past Accepting new patients
Infinity Health Care, LLC PastSince Jul 1, 2015 Accepting new patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner Past Accepting new patients

Locations

7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

9485 Mentor Ave
Ste 210
Mentor, OH 44060
Phone (440) 205-5835

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

38882 Mentor Ave
Willoughby, OH 44094

Interoperability endpoints

  • Direct secure messaging: mpirc654100@direct.ochin.org

Organizations & group practices 9

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1124045919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVE 210",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440608723",
            "telephone_number": "440-205-5883",
            "fax_number": "440-205-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 MENTOR AVENUE",
            "address_2": "SUITE 210",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-255-5571",
            "fax_number": "440-205-5744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Heisley Rd",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "44060",
            "country_code": "US",
            "telephone_number": "440-392-9550",
            "fax_number": "440-392-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRC",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "NP-03495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P0437195",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michele.pirc@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "sEppn!21",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "9485 Mentor Avenue",
            "address_2": "Suite 210",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.