Individual provider Active NPI

Michele Tibbo, ACNP-BC

  • Acute Care Nurse Practitioner
  • Sykesville, MD
National Provider Identifier
1639421563
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R131381 Issued in MD
Practice address
416 Obrecht Rd
Sykesville, MD 21784-7628
Phone
(410) 458-9400
NPI assigned
Oct 2, 2012
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R131381 MD Primary

Addresses

Primary practice location

416 Obrecht Rd
Sykesville, MD 21784-7628

Mailing address

416 Obrecht Rd
Sykesville, MD 21784-7628
Phone (410) 458-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141008000492 MD Practitioner - Nurse Practitioner 0648490961 Reassigns benefits to 9 organizations
I20191017000214 DC Practitioner - Nurse Practitioner 0648490961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baltimore Washington Emergency Physicians, Inc.Group PAC ID 3577451103, 31 clinicians
Mdics at BWMC LLCGroup PAC ID 7315106184, 77 clinicians

Practice addresses (Care Compare)

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (410) 787-4565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
81.47
Improvement activities
40
Cost
75.63

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 28, 2019 Accepting new patients
University of Maryland Emergency Medicine Associates, PA CurrentSince Aug 13, 2014 Accepting new patients
M Medical Group, Inc. Current Accepting new patients
Mep Health, LLC CurrentSince Aug 1, 2023 Accepting new patients
Baltimore Washington Emergency Physicians, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Mdics at BWMC LLC CurrentSince Jun 10, 2024 Accepting new patients
Juniper Healthcare LLC CurrentSince Jul 1, 2020 Accepting new patients
M Medical Group, Inc. CurrentSince Jan 12, 2023 Accepting new patients
University of Maryland Midtown Health Inc CurrentSince Sep 29, 2016 Accepting new patients
M Medical Group, Inc. CurrentSince Jan 12, 2023 Accepting new patients
Dispatchhealth-Arizona CurrentSince Mar 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince May 28, 2019 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

3700 Koppers St
Ste 150
Baltimore, MD 21227
Phone (202) 793-6541

6116 Belair Rd
Baltimore, MD 21206
Phone (410) 426-1424

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

6700 Alexander Bell Dr
Ste 261
Columbia, MD 21046
Phone (202) 793-6541

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

9055 Chevrolet Dr
Ste 103
Ellicott City, MD 21042
Phone (443) 355-6290

30 North Pl
Frederick, MD 21701
Phone (301) 695-6618

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: michele.tibbo.1@13869.direct.athenahealth.com
  • Direct secure messaging: michele.tibbo.p2@direct.clinicalassociates.nextgenshare.com
  • Direct secure messaging: mtibbo105471@direct.umm.edu

Organizations & group practices 13

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.

View all 13

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1639421563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 OBRECHT RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847628",
            "telephone_number": "410-458-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 OBRECHT RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847628",
            "telephone_number": "410-458-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBBO",
        "first_name": "MICHELE",
        "credential": "ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R131381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

Verify at the official NPI Registry.