Individual provider Active NPI

Michelle Gene Renko

  • Family Nurse Practitioner
  • Lancaster, OH
National Provider Identifier
1912283250
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-CNP.0028425 Issued in OH
Practice address
609 E Chestnut St
Lancaster, OH 43130-3900
Phone
(740) 206-7131
NPI assigned
Nov 1, 2011
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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.0028425 OH Primary

Addresses

Primary practice location

609 E Chestnut St
Lancaster, OH 43130-3900

Mailing address

609 E Chestnut St
Lancaster, OH 43130-3900
Phone (740) 206-7131

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
I20210623003790 OH Practitioner - Nurse Practitioner 4789085069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gray Derm PLLCGroup PAC ID 2163767278, 2 clinicians

Practice addresses (Care Compare)

609 E Chestnut St
Lancaster, OH 43130-3900
Phone (740) 206-7131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-CNP.0028425OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gray Derm PLLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Lima Memorial Joint Operating Company Single Specialty Past Accepting new patients
Community and Rural Health Services Past Accepting new patients

Locations

609 E Chestnut St
Lancaster, OH 43130
Phone (740) 206-7131

1005 Bellefontaine Ave
Ste 300
Lima, OH 45804
Phone (419) 225-0110

525 N Eastown Rd
Ste 101
Lima, OH 45807

750 W High St
Ste 300
Lima, OH 45801
Phone (419) 227-5864

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1912283250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 E CHESTNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303900",
            "telephone_number": "740-206-7131",
            "fax_number": "740-422-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E CHESTNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431303900",
            "telephone_number": "740-206-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKO",
        "first_name": "MICHELLE",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN-CNP.0028425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.