Individual provider Active NPI

Michele L Nicholas, FNP

  • Family Nurse Practitioner
  • Strongsville, OH
National Provider Identifier
1497241665
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002975 Issued in OH
Practice address
19327 Westwood Dr
Strongsville, OH 44149-4132
Phone
(216) 456-1998
NPI assigned
Jul 10, 2018
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002975 OH Primary

Addresses

Primary practice location

19327 Westwood Dr
Strongsville, OH 44149-4132

Mailing address

19327 Westwood Dr
Strongsville, OH 44149-4132
Phone (216) 456-1998

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
I20180913001000 OH Practitioner - Nurse Practitioner 7810247715 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002975OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Quality NP, LLC CurrentSince Aug 25, 2020 Accepting new patients

Locations

5155 Buehlers Dr
Ste 108
Medina, OH 44256

555 Springbrook Dr
Medina, OH 44256
Phone (330) 725-3393

18840 Falling Water Rd
Strongsville, OH 44136
Phone (440) 238-1100

Organizations & group practices 2

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1497241665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19327 WESTWOOD DR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441494132",
            "telephone_number": "216-456-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19327 WESTWOOD DR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441494132",
            "telephone_number": "216-456-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "MICHELE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "002975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.