Individual provider Active NPI

Michelle Mitchell, APRN-FNP

  • Family Nurse Practitioner
  • Vandalia, OH
National Provider Identifier
1740768803
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022798 Issued in OH
Practice address
6700 Commerce Center Drive
Vandalia, OH 45322
Phone
(937) 208-6875
Fax
(937) 208-6878
NPI assigned
Aug 1, 2018
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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 APRN.CNP.022798 OH Primary

Addresses

Primary practice location

6700 Commerce Center Drive
Vandalia, OH 45322

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3186

Other practice location 1

1130 S Main St
Englewood, OH 45322-2819
Phone (937) 208-6879

Other practice location 2

8290 Old Troy Pike Ste 40A
Huber Heights, OH 45424-1056
Phone (937) 208-4100

Other practice location 3

1843 W Main St
Troy, OH 45373-2303
Phone (937) 208-4120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022798OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Urgent Care, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Premier Health Specialists Inc Past Accepting new patients

Locations

1130 S Main St
Englewood, OH 45322
Phone (937) 208-6879

8290 Old Troy Pike
Ste 40A
Huber Heights, OH 45424
Phone (937) 208-4100

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

1843 W Main St
Troy, OH 45373
Phone (937) 208-4120

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": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1740768803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3186",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 COMMERCE CENTER DRIVE",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "45322",
            "telephone_number": "937-208-6875",
            "fax_number": "937-208-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 S Main St",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222819",
            "country_code": "US",
            "telephone_number": "937-208-6879",
            "fax_number": "937-208-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8290 Old Troy Pike Ste 40A",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454241056",
            "country_code": "US",
            "telephone_number": "937-208-4100",
            "fax_number": "937-208-4107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1843 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732303",
            "country_code": "US",
            "telephone_number": "937-208-4120",
            "fax_number": "937-208-4126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHELLE",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

Verify at the official NPI Registry.