Individual provider Active NPI

Caren Michael, APRN-CNP

  • Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1124679576
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.025662 Issued in OH
Practice address
8039 Washington Village Dr Ste 100
Centerville, OH 45458-1877
Phone
(937) 435-8999
NPI assigned
Sep 26, 2019
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 APRN.CNP.025662 OH Primary

Addresses

Primary practice location

8039 Washington Village Dr Ste 100
Centerville, OH 45458-1877

Mailing address

1280 Prem PL
Xenia, OH 45385-5737
Phone (570) 575-5363

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
I20200421002773 OH Practitioner - Nurse Practitioner 4880024520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Allergy Associates, Inc.Group PAC ID 7517864499, 4 clinicians

Practice addresses (Care Compare)

8039 Washington Village Dr
Centerville, OH 45458-1877
Phone (937) 435-8999

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Allergy Associates, Inc. CurrentSince Jan 12, 2020 Accepting new patients
The Little Clinic of Ohio LLC CurrentSince Mar 2, 2022 Accepting new patients

Locations

3121 Evelyn Dr
Ste 100
Beavercreek, OH 45434
Phone (937) 320-1830

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

3165 Dayton Xenia Rd
Dayton, OH 45434
Phone (937) 431-8230

8039 Washington Village Dr
Ste 100
Dayton, OH 45458
Phone (937) 435-8999

8654 N Main St
Dayton, OH 45415
Phone (937) 435-8999

634 N Vandemark Rd
Sidney, OH 45365

634 N Vandemark Rd
#100
Sidney, OH 45365
Phone (937) 492-4600

Organizations & group practices 2

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1124679576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 PREM PL",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453855737",
            "telephone_number": "570-575-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 WASHINGTON VILLAGE DR STE 100",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581877",
            "telephone_number": "937-435-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "CAREN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.