Active NPI
Michelle Diederich, CNP
- Acute Care Nurse Practitioner
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP11900
- Practice address
- 111 S Grant Ave
Columbus, OH 43215-4701 - Phone
- (614) 566-8648
- Fax
- (614) 566-8825
- NPI assigned
- Sep 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN307507 | OH | |
| Acute Care Nurse Practitioner | 363LA2100X | NP11900 | OH | Primary |
Addresses
Primary practice location
111 S Grant Ave
Columbus, OH 43215-4701
Mailing address
5450 Frantz Rd Ste 360
Dublin, OH 43016-4141
Phone (614) 544-6366
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mdiederich14571@direct.ohiohealth.com | OhioHealth Physician Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-9489
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN307507 | OH | MD | Registered Nurse |
| NP11900 | OH | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Current | Accepting new patients | |
| Marion Area Physicians LLC | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients |
Locations
Dept L3652
Columbus, OH 43260
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874
1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400
500 London Ave
Marysville, OH 43040
Phone (740) 420-8451
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- Internal Medicine Physician
- Marion, OH
- NPI 1619230802
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
- NPI 1265627301
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1356659213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 FRANTZ RD STE 360",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164141",
"telephone_number": "614-544-6366",
"fax_number": "614-544-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S GRANT AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154701",
"telephone_number": "614-566-8648",
"fax_number": "614-566-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEDERICH",
"first_name": "MICHELLE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN307507",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OH",
"license": "NP11900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mdiederich14571@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "3535 Olentangy River Rd",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143908",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.