Michelle Petrie

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

00028224 Issued in OH

Practice address

2055 Alexandria Way
Macedonia, OH 44056-1998

Phone

(330) 468-3312

NPI assigned

May 9, 2019

Last updated

May 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpetrie536939@ehrdirect.uhhospitals.org

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.

• Broadview Heights Family Medicine, Inc

  • Family Medicine Physician
  • Broadview HTS, OH
  • NPI 1063495224
  Medicare reassignment NPD
• University Hospitals Cleveland Medical Center

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1043747454
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Molina Care Connections, LLC.

  dba Molina CC

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  OH

  Medicare reassignment NPD
• University Hospitals Cleveland Medical Center

  dba Bolwell Health Center Pharmacy

  • Community/Retail Pharmacy
  • Cleveland, OH
  • NPI 1952488108
  NPD
• Cornerstone Psychological & Counseling Services of Northeast Ohio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medina, OH
  • NPI 1144612300
  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1336704972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 ALEXANDRIA WAY",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561998",
            "telephone_number": "330-468-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 ALEXANDRIA WAY",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561998",
            "telephone_number": "330-468-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "00028224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter B. Paris, OPTICIAN
• Parker-Hannifin Corporation (Human Motion & Control Business Unit)
• Paul Fike Builders
• Deborah Paul, MD
• Erik Peters, DC
• Planned Parenthood of Summit, Portage & Medina Counties
• Shelley Ann Plescia, NP
• Amy M Polster, MD
• Shelby Marie Poploski, PHARMD
• Allison Porter, MD

• Family Nurse Practitioner in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.