Individual provider Active NPI

Michelle Aliece Orescanin, ARNP

  • Acute Care Nurse Practitioner
  • Ballwin, MO
National Provider Identifier
1831977172
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
61482827 Issued in WA
Practice address
1300 Big Bend Rd Apt 339
Ballwin, MO 63021-7762
Phone
(530) 205-6829
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 61482827 WA Primary

Addresses

Primary practice location

1300 Big Bend Rd Apt 339
Ballwin, MO 63021-7762

Mailing address

1300 Big Bend Rd Apt 339
Ballwin, MO 63021-7762
Phone (530) 205-6829

Other names 1

  • Ms. Michelle Aliece Loeffler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240507000695 WA Practitioner - Nurse Practitioner 1850731936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
61482827WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Apr 3, 2024 Accepting new patients
Multicare Health System Single Specialty Current Accepting new patients
Multicare Health System CurrentSince Apr 3, 2024 Accepting new patients
Multicare Health System Single Specialty Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1450 5th St SE
Ste 2200
Puyallup, WA 98372

1901 S Cedar St
Ste 301
Tacoma, WA 98405
Phone (253) 396-4806

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 4

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 3

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1831977172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BIG BEND RD APT 339",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217762",
            "telephone_number": "530-205-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BIG BEND RD APT 339",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217762",
            "telephone_number": "530-205-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORESCANIN",
        "first_name": "MICHELLE",
        "middle_name": "ALIECE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "61482827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LOEFFLER",
            "middle_name": "ALIECE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.