Individual provider Active NPI

Michael Kenneth Clingman

  • Nurse Practitioner
  • Norwalk, OH
National Provider Identifier
1326654906
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0027766 Issued in OH
Practice address
272 Benedict Ave
Norwalk, OH 44857-2374
Phone
(419) 660-2818
Fax
(419) 660-2692
NPI assigned
Sep 19, 2020
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1326654906 OH
Nurse Practitioner 363L00000X APRN.CNP.0027766 OH Primary
Family Nurse Practitioner 363LF0000X RN341980 OH

Addresses

Primary practice location

272 Benedict Ave
Norwalk, OH 44857-2374

Mailing address

272 Benedict Ave
Norwalk, OH 44857-2374
Phone (419) 660-2818

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
I20201229000218 OH Practitioner - Nurse Practitioner 7719390350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

278 Benedict Ave
Suite 650
Norwalk, OH 44857-2720
Phone (419) 668-4328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1326654906OHMDNurse Practitioner
RN341980OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Care LLC CurrentSince Nov 13, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 29, 2023 Accepting new patients
Firelands Regional Medical Center Current Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2114 State Route 113 E
Milan, OH 44846
Phone (419) 499-4500

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 423-5197

278 Benedict Ave
Ste 650
Norwalk, OH 44857
Phone (419) 660-9675

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

368 Milan Ave
Ste D
Norwalk, OH 44857
Phone (419) 663-6464

1925 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-5177

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1326654906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "419-660-2818",
            "fax_number": "419-660-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "419-660-2818",
            "fax_number": "419-660-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGMAN",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-19",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "1326654906",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0027766",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN341980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.