Individual provider Active NPI

Michelle Catherine Allison

  • Family Nurse Practitioner
  • Aurora, IN
National Provider Identifier
1649935107
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021036701 Issued in IN
Practice address
6082 Martha Dr N
Aurora, IN 47001-9566
Phone
(513) 708-3918
NPI assigned
Nov 1, 2021
Last updated
Jan 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3017074 KY
Family Nurse Practitioner 363LF0000X 0030402 OH
Family Nurse Practitioner 363LF0000X 2021036701 IN Primary

Addresses

Primary practice location

6082 Martha Dr N
Aurora, IN 47001-9566

Mailing address

6082 Martha Dr N
Aurora, IN 47001-9566
Phone (513) 708-3918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220324000682 OH Practitioner - Nurse Practitioner 4082009295 Reassigns benefits to 2 organizations
I20220629003670 KY Practitioner - Nurse Practitioner 4082009295 Reassigns benefits to 2 organizations
I20250421000087 IN Practitioner - Nurse Practitioner 4082009295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021036701INMDFamily Nurse Practitioner
3017074KYMDFamily Nurse Practitioner
0030402OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Feb 18, 2024 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1649935107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6082 MARTHA DR N",
            "city": "AURORA",
            "state": "IN",
            "postal_code": "470019566",
            "telephone_number": "513-708-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6082 MARTHA DR N",
            "city": "AURORA",
            "state": "IN",
            "postal_code": "470019566",
            "telephone_number": "513-708-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "MICHELLE",
        "middle_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017074",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0030402",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "2021036701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IN

Sources for this page

Verify at the official NPI Registry.