Individual provider Active NPI

Michelle R Cooley, APRN

  • Women's Health Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1609050186
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
COA 17211 NP Issued in OH
Practice address
1036 S Verity Pkwy
Middletown, OH 45044-5513
Phone
(513) 454-1111
NPI assigned
Dec 20, 2007
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X COA 17211 NP OH Primary

Addresses

Primary practice location

1036 S Verity Pkwy
Middletown, OH 45044-5513

Mailing address

PO Box 837
Hamilton, OH 45012-0837
Phone (513) 869-4917

Other practice location 1

903 NW Washington Blvd Ste A
Hamilton, OH 45013-6367
Phone (513) 454-1111

Other identifiers 1

IdentifierTypeStateIssuer
0128479MedicaidOH

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
I20150601002433 OH Practitioner - Nurse Practitioner 5294862827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Butler County Community Health Consortium IncGroup PAC ID 7810884780, shared by 19 NPIs, 56 clinicians

Practice addresses (Care Compare)

1036 S Verity Pkwy
Middletown, OH 45044-5513
Phone (513) 454-1111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists LLC CurrentSince Nov 1, 2016 Accepting new patients
University of Cincinnati Medical Center, LLC Women's Health Current Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince May 1, 2015 Accepting new patients
Butler County Community Health Consortium Inc Past Accepting new patients
University Surgical-Dental Associates, LLC Past Accepting new patients
Butler County Community Health Consortium, Inc. Past Accepting new patients
Planned Parenthood of the Heartland PastSince Sep 28, 2025 Accepting new patients

Locations

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

2123 Auburn Ave
Ste 120
Cincinnati, OH 45219
Phone (513) 245-3113

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3200 Burnet Ave
#3S
Cincinnati, OH 45229

903 NW Washington Blvd
Ste A
Hamilton, OH 45013
Phone (513) 737-6900

Interoperability endpoints

  • Direct secure messaging: michelle.cooley.p5@direct.myprimaryhealth.nextgenshare.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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1609050186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450120837",
            "telephone_number": "513-869-4917",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 S VERITY PKWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445513",
            "telephone_number": "513-454-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 NW Washington Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450136367",
            "country_code": "US",
            "telephone_number": "513-454-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA 17211 NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128479",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.