Individual provider Active NPI

Michele Smola, FNP-C

  • Family Nurse Practitioner
  • Oregon, OH
National Provider Identifier
1659785749
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15987 Issued in OH
Practice address
3316 Navarre Ave
Suite F
Oregon, OH 43616-3314
Phone
(419) 291-1420
Fax
(419) 214-3841
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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 COA.15987 OH Primary

Addresses

Primary practice location

3316 Navarre Ave
Suite F
Oregon, OH 43616-3314

Mailing address

2016 Mount Vernon Ave
Toledo, OH 43607-1544
Phone (419) 578-6790

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
I20140822000421 OH Practitioner - Nurse Practitioner 6709004468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

1601 Brigham Dr
Suite 150
Perrysburg, OH 43551-7120
Phone (419) 872-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.15987OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Toledo Urgent Cares, LLC. CurrentSince Oct 20, 2014 Accepting new patients
Greater Toledo Urgent Cares, LLC. CurrentSince Oct 20, 2014 Accepting new patients
Incare Health Solutions, LLC Family CurrentSince Sep 1, 2014 Accepting new patients
Incare Health Solutions LLC CurrentSince Sep 1, 2014 Accepting new patients
Promedica Central Physicians CurrentSince Jul 1, 2015 Accepting new patients
Promedica Central Physicians CurrentSince Jul 1, 2015 Accepting new patients
Promedica Central Physicians PastSince Oct 16, 2022 Accepting new patients

Locations

3316 Navarre Ave
Ste F
Oregon, OH 43616
Phone (419) 291-1420

1601 Brigham Dr
Ste 150
Perrysburg, OH 43551
Phone (419) 794-7700

25950 Dixie Hwy
Ste 400
Perrysburg, OH 43551
Phone (567) 585-0010

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

6755 W Central Ave
Ste 101
Toledo, OH 43617
Phone (567) 585-0075

2627 Tremainsville Rd
Toledo, OH 43613
Phone (419) 214-0790

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

4405 N Holland Sylvania Rd
Toledo, OH 43623
Phone (910) 297-7270

3430 Secor Rd
Toledo, OH 43606
Phone (567) 585-0225

Interoperability endpoints

  • Direct secure messaging: msmola30870@direct.promedica.org

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 2

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1659785749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 MOUNT VERNON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436071544",
            "telephone_number": "419-578-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 NAVARRE AVE",
            "address_2": "SUITE F",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163314",
            "telephone_number": "419-291-1420",
            "fax_number": "419-214-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLA",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.