Individual provider Active NPI

Michele Josefovsky, CNP

  • Family Nurse Practitioner
  • Troy, OH
National Provider Identifier
1891215224
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.021002 Issued in OH
Practice address
31 S Stanfield Rd Ste 301
Troy, OH 45373
Phone
(937) 339-1518
Fax
(937) 339-1538
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.021002 OH Primary

Addresses

Primary practice location

31 S Stanfield Rd Ste 301
Troy, OH 45373

Mailing address

3170 Kettering Blvd
BLDG B 3Rd Floor
Moraine, OH 45439-1924
Phone (937) 991-3188

Other practice location 1

3006 N County Road 25A # 101
Troy, OH 45373-1373
Phone (937) 335-2075

Other practice location 2

31 S Stanfield Rd Ste 301
Troy, OH 45373
Phone (937) 339-1518

Other identifiers 1

IdentifierTypeStateIssuer
0249320MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171128003666 OH Practitioner - Nurse Practitioner 7315204468 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

101 Looney Rd
Piqua, OH 45356-4153
Phone (937) 439-0842

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
84.25
Promoting interoperability
100
Improvement activities
40
Cost
72.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.021002OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Internists LLC CurrentSince Oct 31, 2017 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 1, 2024 Accepting new patients
Upper Valley Professional Corporation CurrentSince Feb 26, 2018 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 1, 2024 Accepting new patients
Uvpc Specialists, Inc. CurrentSince Mar 30, 2020 Accepting new patients
Uvpc Specialists Inc. CurrentSince Mar 30, 2020 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

101 Looney Rd
Ste B
Piqua, OH 45356

101 Looney Rd
Piqua, OH 45356
Phone (937) 335-1660

1529 Fair Rd
Ste 110
Sidney, OH 45365
Phone (937) 335-1660

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

31 S Stanfield Rd
Ste 304
Troy, OH 45373
Phone (937) 339-1518

1330 N County Road 25A
Ste A
Troy, OH 45373
Phone (937) 335-2075

31 S Stanfield Rd
Ste 301
Troy, OH 45373
Phone (937) 332-7950

3006 N Dixie Hwy
Ste 101
Troy, OH 45373
Phone (937) 339-9030

3130 N County Road 25A
Ste 205
Troy, OH 45373
Phone (937) 335-0061

Organizations & group practices 8

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 2

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1891215224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD",
            "address_2": "BLDG B 3RD FLOOR",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S STANFIELD RD STE 301",
            "city": "TROY",
            "state": "OH",
            "postal_code": "45373",
            "telephone_number": "937-339-1518",
            "fax_number": "937-339-1538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3006 N County Road 25A # 101",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731373",
            "country_code": "US",
            "telephone_number": "937-335-2075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 S Stanfield Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "45373",
            "country_code": "US",
            "telephone_number": "937-339-1518",
            "fax_number": "937-339-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEFOVSKY",
        "first_name": "MICHELE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.021002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249320",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.