Michelle K Marko, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.020972 Issued in OH

Practice address

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Phone

(614) 844-3800

NPI assigned

Jul 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.marko.p1@direct.iamboundless.nextgenshare.com

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.

• Boundless Health, Inc.

  • Primary Care Clinic/Center
  • West Carrollton, OH
  • NPI 1447739339
  Medicare reassignment NPD
• I Am Boundless, Inc

  • Community/Behavioral Health Agency
  • Worthington, OH
  • NPI 1891458477
  Medicare reassignment NPD
• Boundless Health, Inc.

  • General Practice Dentistry
  • Worthington, OH
  • NPI 1710575360
  NPD
• I Am Boundless, Inc.

  • Clinic/Center
  • Worthington, OH
  • NPI 1063230175
  NPD
• Muskingum Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Cambridge, OH
  • NPI 1750952594
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1346762465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GREEN LN",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479574",
            "telephone_number": "614-578-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-844-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKO",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.020972",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie N/a Mansaray, BT
• Mohamed Mansaray
• Shannon Maria Manuche, DPT
• Doreen Marfo
• Marin'S Hope Counseling
• Paige Markward
• Dolores Marr
• Sydney Lynn Marra, RBT
• Mary Jo Marraffa, D.C.
• Brianna N Marshall

• Psychiatric/Mental Health Nurse Practitioner in Worthington, OH
• Providers in Worthington, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.