Individual provider Active NPI

Michelle Tegenkamp, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1396730073
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.07444 Issued in OH
Practice address
700 Childrens Dr
Columbus, OH 43205-2664
Phone
(614) 722-2000
Fax
(614) 722-3369
NPI assigned
Sep 19, 2005
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.07444 OH Primary

Addresses

Primary practice location

700 Childrens Dr
Columbus, OH 43205-2664

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 1

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 722-6200

Other practice location 2

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-6200

Other practice location 3

536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-2000

Other practice location 4

740 Adair Ave
Zanesville, OH 43701-2838
Phone (614) 722-2000

Other practice location 5

4439 State Route 159
Chillicothe, OH 45601-8207
Phone (614) 722-2000

Other practice location 6

7853 Pacer Dr
Delaware, OH 43015-7571
Phone (614) 722-2000

Other practice location 7

100 Colemans Crossing Blvd
Marysville, OH 43040-7080
Phone (937) 578-7600

Other practice location 8

1350 Stringtown Rd
Grove City, OH 43123-9743
Phone (614) 938-1800

Other practice location 9

7450 Hospital Dr
Dublin, OH 43016-9642
Phone (614) 355-7000

Other practice location 10

4363 All Seasons Dr
Hilliard, OH 43026-2050
Phone (614) 355-5900

Other practice location 11

5665 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-2000

Other practice location 12

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 722-2000

Other identifiers 1

IdentifierTypeStateIssuer
2456060MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.tegenkamp@lmpc.eclinicaldirectplus.com

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
I20200527001996 OH Practitioner - Nurse Practitioner 3971924051 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.07444OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Academic Association, Inc. Pediatrics CurrentSince Sep 8, 2025 Accepting new patients
Nationwide Children's Hospital CurrentSince Sep 8, 2025 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jun 1, 2020 Accepting new patients
Nationwide Children's Hospital Pediatrics CurrentSince Sep 8, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Nationwide Children's Hospital Past Accepting new patients
Pediatrics of Lima Inc Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050

7901 Diley Rd
Ste 150
Canal Winchester, OH 43110
Phone (614) 355-9050

4439 State Route 159
Chillicothe, OH 45601
Phone (740) 779-8728

380 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 355-0569

380 Butterfly Gardens Dr
#3A
Columbus, OH 43215

55 Dillmont Dr
Columbus, OH 43235
Phone (614) 431-1634

55 Dillmont Dr
Ste 100
Columbus, OH 43235
Phone (614) 839-3040

6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

Dept L289
Columbus, OH 43260

L3982
Columbus, OH 43260

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900

5665 Venture Dr
Dublin, OH 43017
Phone (614) 355-8480

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1005 Bellefontaine Ave
Ste 245
Lima, OH 45804
Phone (419) 998-8230

525 N Eastown Rd
Ste 102
Lima, OH 45807
Phone (419) 998-8214

830 W High St
Ste 102
Lima, OH 45801
Phone (419) 222-4045

536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150

433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300

740 Adair Ave
Zanesville, OH 43701
Phone (614) 722-3535

Interoperability endpoints

  • Direct secure messaging: michelle.tegenkamp@lmpc.eclinicaldirectplus.com

Organizations & group practices 7

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1396730073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-3369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828095",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-722-6200",
            "fax_number": "614-722-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "536 S Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063418",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-3369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Adair Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437012838",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-3369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4439 State Route 159",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456018207",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-3369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7853 Pacer Dr",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430157571",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-3369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Colemans Crossing Blvd",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430407080",
            "country_code": "US",
            "telephone_number": "937-578-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Stringtown Rd",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431239743",
            "country_code": "US",
            "telephone_number": "614-938-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7450 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169642",
            "country_code": "US",
            "telephone_number": "614-355-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4363 All Seasons Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262050",
            "country_code": "US",
            "telephone_number": "614-355-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5665 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172159",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-3369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "fax_number": "614-722-3369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEGENKAMP",
        "first_name": "MICHELLE",
        "credential": "RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.07444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2456060",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.tegenkamp@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1005 Bellefontaine Ave Ste 245",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458042884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.