Active NPI
Michelle Lynn Smith, APRN-CNP
- Nurse Practitioner
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN.CNP.0033738
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0033738 | OH | MD | Internal Medicine Physician |
| APRN.CNP.0033738 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GPS Behavioral Care of Ohio Inc | Current | Accepting new patients | |
| Geriatric Psychiatric Services PLLC | Current | Accepting new patients | |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Vpa PC | Internal Medicine | Current | Accepting new patients |
| Geriatric Psychiatric Services PLLC | Current | 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.
-
- Adult Development & Aging Psychologist
- Maumee, OH
- NPI 1467492173
-
- Psychiatry Physician
- Maumee, OH
- NPI 1598635294
-
- Multi-Specialty Clinic/Center
- Kenton, OH
- NPI 1669123949
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1073753323
-
- Durable Medical Equipment & Medical Supplies
- Oregon, OH
- NPI 1518019587
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.