Active NPI
Michelle Aimee Caesar, APRN
- Gerontology Nurse Practitioner
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN.CNP.17178
- Practice address
- 200 Medical Center Dr Ste a
Springfield, OH 45504-2688 - Phone
- (937) 523-9480
- Fax
- (937) 523-9490
- NPI assigned
- Apr 23, 2007
- Last updated
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN.CNP.17178 | OH | Primary |
| Registered Nurse | 163W00000X | 309419 | OH |
Addresses
Primary practice location
200 Medical Center Dr Ste a
Springfield, OH 45504-2688
Mailing address
200 Medical Center Dr Ste a
Springfield, OH 45504-2688
Phone (937) 523-9480
Other practice location 1
3533 Southern Blvd
Suite 5200
Kettering, OH 45429-1264
Phone (937) 439-6186
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0180984 | Medicaid | OH | |
| APRN.CNP. 17178 | Other | OH | STATE LICENSE - OHIO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mcaesar6014@direct.ketteringhealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Medical Ctr Dr
Springfield, OH 45504-2688
Phone (937) 523-9051
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309419 | OH | MD | Registered Nurse |
| APRN.CNP.17178 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Mercy Health Physicians Springfield Specialty Care LLC | Current | Accepting new patients |
Locations
3533 Southern Blvd
Ste 5200
Kettering, OH 45429
Phone (937) 395-8002
3700 Southern Blvd
Ste 300
Kettering, OH 45429
Phone (937) 395-8002
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
200 Medical Center Dr
Springfield, OH 45504
Phone (937) 328-8220
200 Medical Center Dr
Ste A
Springfield, OH 45504
Phone (937) 523-9480
900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666
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.
-
- Surgery Physician
- Springfield, OH
- NPI 1790308104
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health - Springfield Regional Medical Center
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
dba Mercy Health - Lab Services, Springfield
- Clinical Medical Laboratory
- Springfield, OH
- NPI 1477217297
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1750509642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR STE A",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042688",
"telephone_number": "937-523-9480",
"fax_number": "937-523-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR STE A",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042688",
"telephone_number": "937-523-9480",
"fax_number": "937-523-9490"
}
],
"practiceLocations": [
{
"address_1": "3533 Southern Blvd",
"address_2": "Suite 5200",
"address_purpose": "LOCATION",
"city": "Kettering",
"state": "OH",
"postal_code": "454291264",
"country_code": "US",
"telephone_number": "937-439-6186",
"fax_number": "937-439-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAESAR",
"first_name": "MICHELLE",
"middle_name": "AIMEE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "APRN.CNP.17178",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "309419",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0180984",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE - OHIO",
"identifier": "APRN.CNP. 17178",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3533 Southern Blvd",
"address_2": "Suite 5200",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291264",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcaesar6014@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3533 Southern Blvd",
"address_2": "Suite 5200",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291264",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, OH
- Kylee E Butler
- Shehla M Butt, M.D.
- Gail Button
- C.H. Health Services Company (Community Mercy Occupational Health Medicine)
- C.H. Health Services Company (Community Hospital Health Care Center)
- Brenda Cain, OTR/L
- Morgan D Cain, RN
- Philip Jeffrey Cain, D.P.M.
- Laschelle Caldwell
- Scott Pandel Caleodis, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.