Michelle M Mattice Dancer, MS, CNM, RN

Primary specialty

MidwifeTaxonomy code 176B00000X

License

09000105A Issued in IN

Practice address

11785 Morrison Mikesell Rd
New Paris, OH 45347-9214

Phone

(937) 437-0444

NPI assigned

Feb 23, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Master of Science, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1215062617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11785 MORRISON MIKESELL RD",
            "city": "NEW PARIS",
            "state": "OH",
            "postal_code": "453479214",
            "telephone_number": "937-437-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11785 MORRISON MIKESELL RD",
            "city": "NEW PARIS",
            "state": "OH",
            "postal_code": "453479214",
            "telephone_number": "937-437-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTICE DANCER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "MS, CNM, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 270174",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28136314A",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IN",
            "license": "09000105A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703284",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeung Woo Ahn, M.D.
• Cardinal New Paris, Inc. (Foundations)
• Sonya Davis
• Rachel Sue Fields, LPN
• Timothy Michael Kendall II
• Patrick Mayl, CRNA
• Miller Holdings Foundations, Inc. (Foundations)
• National Trail Local School District
• Northwest Fire & Ambulance District (Northwest Emergency Squad)
• Kristin Richardson

• Midwife in New Paris, OH
• Providers in New Paris, OH by specialty
• Midwife in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.