Individual provider Active NPI

Nicholas Micheli

  • Physician Assistant
  • Parma, OH
National Provider Identifier
1558077123
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.008177RX Issued in OH
Practice address
6707 Powers Blvd
Parma, OH 44129-5455
Phone
(440) 292-3898
NPI assigned
Jan 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.008177RX OH Primary

Addresses

Primary practice location

6707 Powers Blvd
Parma, OH 44129-5455

Mailing address

26246 Crocker LNDG
Columbia Station, OH 44028-9220
Phone (216) 299-9015

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
I20231106001503 OH Practitioner - Physician Assistant 8729435250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Parma Community General Hospital AssociationGroup PAC ID 8325931470, 31 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

7007 Powers Blvd
Parma, OH 44129-5437
Phone (440) 743-3000

Hospital & facility affiliations

  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Parma Community General Hospital Association CurrentSince Sep 10, 2023 Accepting new patients
Parma Community General Hospital Association CurrentSince Sep 10, 2023 Accepting new patients
Cottle Pathology Services, Inc Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince Dec 15, 2025 Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

Interoperability endpoints

  • Direct secure messaging: nmicheli223221@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1558077123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26246 CROCKER LNDG",
            "city": "COLUMBIA STATION",
            "state": "OH",
            "postal_code": "440289220",
            "telephone_number": "216-299-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 POWERS BLVD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295455",
            "telephone_number": "440-292-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELI",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.008177RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.