Individual provider Active NPI

Michelle K. Katterheinrich, CNP

  • Family Nurse Practitioner
  • Wapakoneta, OH
National Provider Identifier
1578938429
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.18359 Issued in OH
Practice address
1100 Defiance St
Wapakoneta, OH 45895-1022
Phone
(419) 996-5122
Fax
(419) 996-5123
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 APRN.CNP.18359 OH Primary

Addresses

Primary practice location

1100 Defiance St
Wapakoneta, OH 45895-1022

Mailing address

2231 Timber TRL
Bellefontaine, OH 43311-9036
Phone (937) 599-3115

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
I20160211000182 OH Practitioner - Nurse Practitioner 6709180730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians

Practice addresses (Care Compare)

1134 N Main St
Suite 1100
Bellefontaine, OH 43311-2379
Phone (937) 651-6820

120 W Main St
Russells Point, OH 43348-7500
Phone (937) 292-5063

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18359OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Rutan Hospital CurrentSince Mar 1, 2023 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mary Rutan Hospital CurrentSince Mar 1, 2023 Accepting new patients
Mary Rutan Hospital Past Accepting new patients
Mercy Health-St Ritas Medical Center LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

118 Dowell Ave
Bellefontaine, OH 43311
Phone (937) 593-5437

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

2231 Timber Trl
Bellefontaine, OH 43311
Phone (937) 599-3115

1134 N Main St
Ste 1100
Bellefontaine, OH 43311
Phone (937) 651-6820

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

2195 Allentown Rd
Lima, OH 45805
Phone (419) 227-2245

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

120 W Main St
Russells Point, OH 43348
Phone (937) 843-2048

8200 State Route 366
Ste 8
Russells Pt, OH 43348
Phone (937) 292-5063

1880 E US Highway 36
Urbana, OH 43078
Phone (937) 484-3500

209 Lippincott Ln
Urbana, OH 43078
Phone (937) 599-7058

1100 Defiance St
Wapakoneta, OH 45895
Phone (419) 738-4022

500 N Westminster St
Waynesfield, OH 45896
Phone (419) 568-9100

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1578938429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 TIMBER TRL",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119036",
            "telephone_number": "937-599-3115",
            "fax_number": "937-599-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 DEFIANCE ST",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951022",
            "telephone_number": "419-996-5122",
            "fax_number": "419-996-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTERHEINRICH",
        "first_name": "MICHELLE",
        "middle_name": "K.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

Verify at the official NPI Registry.