Individual provider Active NPI

Michelle Wells

  • Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1760972665
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
022308 Issued in OH
Practice address
3690 Orange PL Ste 250
Beachwood, OH 44122-4438
Phone
(216) 663-5680
NPI assigned
May 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 022308 OH
Gerontology Nurse Practitioner 363LG0600X 022308 OH
Primary Care Nurse Practitioner 363LP2300X 022308 OH
Nurse Practitioner 363L00000X 022308 OH Primary

Addresses

Primary practice location

3690 Orange PL Ste 250
Beachwood, OH 44122-4438

Mailing address

11308 Clarebird Ave
Cleveland, OH 44105-2541
Phone (216) 287-3949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220131002627 OH Practitioner - Nurse Practitioner 3870986649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
58.5
Improvement activities
40
Cost
72.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
022308OHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steven V Kozmary MD LLC CurrentSince Sep 28, 2021 Accepting new patients
Steven V Kozmary MD LLC CurrentSince Sep 28, 2021 Accepting new patients

Locations

7575 Northcliff Ave
Ste 200
Cleveland, OH 44144
Phone (216) 417-3700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6591/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michellewells@cps.directglo.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1760972665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11308 CLAREBIRD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441052541",
            "telephone_number": "216-287-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 250",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224438",
            "telephone_number": "216-663-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "022308",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "022308",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "022308",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "022308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.