Individual provider Active NPI

Michaelene Ann Larch

  • Nurse Practitioner
  • Weirton, WV
National Provider Identifier
1790594083
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0038353 Issued in OH
Practice address
485 Colliers Way Ste N
Weirton, WV 26062-5012
Phone
(304) 723-2152
Fax
(304) 723-2160
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0038353 OH Primary

Addresses

Primary practice location

485 Colliers Way Ste N
Weirton, WV 26062-5012

Mailing address

651 Colliers Way Ste 300
Weirton, WV 26062-5058
Phone (304) 797-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250318003165 OH Practitioner - Nurse Practitioner 6103348206 Reassigns benefits to 1 organization
I20250413000061 WV Practitioner - Nurse Practitioner 6103348206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

2315 Sunset Blvd
Suite C
Steubenville, OH 43952-2496
Phone (740) 266-9411

485 Colliers Way
Suite N
Weirton, WV 26062-5012
Phone (304) 723-2152

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0038353OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC CurrentSince Jan 10, 2025 Accepting new patients
WMC Physician Practices LLC CurrentSince Jan 10, 2025 Accepting new patients

Locations

951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631

332 W 6th St
East Liverpool, OH 43920
Phone (330) 386-4303

2315 Sunset Blvd
Ste C
Steubenville, OH 43952
Phone (740) 266-9411

3150 Johnson Rd
Ste A
Steubenville, OH 43952
Phone (740) 264-1204

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

485 Colliers Way
Ste N
Weirton, WV 26062
Phone (304) 723-2152

485 Colliers Way
Ste M
Weirton, WV 26062
Phone (304) 723-5400

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.

Hospital & facility affiliations 5

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": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1790594083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 300",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058",
            "telephone_number": "304-797-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 COLLIERS WAY STE N",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625012",
            "telephone_number": "304-723-2152",
            "fax_number": "304-723-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARCH",
        "first_name": "MICHAELENE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0038353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.