Michelle Alyce Jahnke, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35-07-3098J Issued in OH

Practice address

6693 N Chestnut St Ste 125a
Ravenna, OH 44266-3900

Phone

(330) 296-2879

Fax

(330) 296-4656

NPI assigned

Feb 3, 2006

Last updated

Oct 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Horizon Dermatology, IncGroup PAC ID 4587629779, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.74 of 100Reported as individual

Quality

99.47

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjahnke38092@ehrdirect.uhhospitals.org

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.

• New Horizon Dermatology, Inc

  • Specialist
  • Ravenna, OH
  • NPI 1285780031
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1689646721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST STE 125A",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663900",
            "telephone_number": "330-296-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6693 N CHESTNUT ST STE 125A",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663900",
            "telephone_number": "330-296-2879",
            "fax_number": "330-296-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHNKE",
        "first_name": "MICHELLE",
        "middle_name": "ALYCE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35-07-3098J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independence of Portage County, Inc.
• Stephany Indorf, PA-C
• Marisa Irwin, RN
• Charla L Jackson
• Joan Ellen Jacob, R.N.
• Ashkan Jamili
• Elizabeth Ann Janniello
• Patrick Joseph Janovick, M.D.
• Cassandra Jarjabka
• Jonathan James Jarrett

• Dermatology Physician in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.