Individual provider Active NPI

Michelle Lynn Smith, APRN-CNP

  • Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1144919747
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0033738 Issued in OH
Practice address
4235 Secor Rd
Toledo, OH 43623-4299
Phone
(419) 479-5728
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0033738 OH
Nurse Practitioner 363L00000X APRN.CNP.0033738 OH Primary

Addresses

Primary practice location

4235 Secor Rd
Toledo, OH 43623-4299

Mailing address

128 Birchcrest Dr
Perrysburg, OH 43551-1801
Phone (419) 508-6707

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
I20230815001078 OH Practitioner - Nurse Practitioner 0446612071 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055
Phone (877) 906-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0033738OHMDInternal Medicine Physician
APRN.CNP.0033738OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GPS Behavioral Care of Ohio Inc CurrentSince Dec 16, 2025 Accepting new patients
Geriatric Psychiatric Services PLLC CurrentSince Apr 23, 2024 Accepting new patients
Vpa PC Internal Medicine CurrentSince Aug 26, 2025 Accepting new patients
Vpa PC Internal Medicine CurrentSince Aug 26, 2025 Accepting new patients
Geriatric Psychiatric Services PLLC CurrentSince Apr 23, 2024 Accepting new patients
Vpa PC Internal Medicine Current Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

7251 Engle Rd
Ste 402
Middleburg Heights, OH 44130
Phone (440) 826-0500

Organizations & group practices 8

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1144919747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BIRCHCREST DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511801",
            "telephone_number": "419-508-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "419-479-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "0033738",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0033738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.