Individual provider Active NPI

Dagny Michel, APN, CNP

  • Family Nurse Practitioner
  • Tremont, IL
National Provider Identifier
1366910424
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277002201 Issued in IL
Practice address
123 S Sampson St
Tremont, IL 61568-8035
Phone
(309) 929-2030
Fax
(309) 929-2060
NPI assigned
Nov 7, 2018
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 209018449 IL
Family Nurse Practitioner 363LF0000X 277002201 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277002722 IL

Addresses

Primary practice location

123 S Sampson St
Tremont, IL 61568-8035

Mailing address

123 S Sampson St
Tremont, IL 61568-8035
Phone (309) 929-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20181219000694 IL Practitioner - Nurse Practitioner 1557606506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Occult Mental Health PLLCGroup PAC ID 4183164973, 5 clinicians

Practice addresses (Care Compare)

123 S Sampson St
Tremont, IL 61568-8035
Phone (309) 929-2030

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as apm
Quality
75.65
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
73.52 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
78.4

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277002201ILMDFamily Nurse Practitioner
277002722ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Solutions, SC CurrentSince Aug 12, 2023 Accepting new patients
Occult Mental Health PLLC CurrentSince Jul 24, 2024 Accepting new patients
Occult Mental Health PLLC Nurse Practitioner CurrentSince Jul 24, 2024 Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1366910424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S SAMPSON ST",
            "city": "TREMONT",
            "state": "IL",
            "postal_code": "615688035",
            "telephone_number": "309-929-2030",
            "fax_number": "309-929-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S SAMPSON ST",
            "city": "TREMONT",
            "state": "IL",
            "postal_code": "615688035",
            "telephone_number": "309-929-2030",
            "fax_number": "309-929-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "DAGNY",
        "credential": "APN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018449",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002201",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tremont, IL

Sources for this page

Verify at the official NPI Registry.