Michele L Althouse, CNP
Individual provider Active NPI Family Nurse Practitioner · Newark, OH
NPI 1831483643 · NPPES record last updated Jan 24, 2018
Key facts
- NPI
- 1831483643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- NP12500 (OH)
- Practice address
- 380 John St
Newark, OH 43055 - Phone
- (740) 281-2594
- Fax
- (740) 281-2699
- NPI assigned
- Jun 9, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120328000542 | OH | Practitioner - Nurse Practitioner | 5991965931 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN322779 | OH | MD | Registered Nurse |
| NP12500 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Past | Accepting new patients | |
| Promedica Central Physicians | Past | Accepting new patients | |
| Radiology Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN322779 | OH | |
| Family Nurse Practitioner | 363LF0000X | NP12500 | OH | Yes |
Addresses
Primary practice location
380 John St
Newark, OH 43055
Mailing address
1 Seagate Ste 800
Toledo, OH 43604-1558
Phone (567) 585-1992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0061804 | Medicaid | OH |
Other providers in Newark, OH
- Suzette C Almeida-Hamilton
- Dustin E Alspach
- Bianka Alston
- Altercare Newark North, Inc.
- Altercare Newark South, Inc.
- American Eagle Newark LLC
- American Ear Hearing & Audiology, LLC
- Brenda K Ames
- Abhay J. Anand
- Joel W Anders
All providers in Newark, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.