Individual provider Active NPI

Michelle Renee Tiberio, CNM

  • Advanced Practice Midwife
  • Westerville, OH
National Provider Identifier
1285336578
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.0019546 Issued in OH
Practice address
444 N Cleveland Ave Ste 120
Westerville, OH 43082-8388
Phone
(614) 818-0300
Fax
(614) 818-0313
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CNM08065 OH
Advanced Practice Midwife 367A00000X APRN.CNM.0019546 OH Primary

Addresses

Primary practice location

444 N Cleveland Ave Ste 120
Westerville, OH 43082-8388

Mailing address

3422 Greenville Dr
Lewis Center, OH 43035-9180
Phone (614) 572-7965

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517000292 OH Practitioner - Certified Nurse Midwife (CNM) 1153787114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians

Practice addresses (Care Compare)

444 N Cleveland Ave
Suite 120
Westerville, OH 43082-8388
Phone (614) 818-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNM08065OHMDMidwife
APRN.CNM.0019546OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Nov 4, 2023 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Nov 4, 2023 Accepting new patients

Locations

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: michelle.tiberio.2@26020.direct.athenahealth.com
  • Direct secure messaging: mtiberio2706813@direct.trinity-health.org
  • Direct secure messaging: michelle.tiberio.1@26020.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1285336578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 GREENVILLE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359180",
            "telephone_number": "614-572-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N CLEVELAND AVE STE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828388",
            "telephone_number": "614-818-0300",
            "fax_number": "614-818-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBERIO",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "CNM08065",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.0019546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.