Individual provider Active NPI

Michelle Lyn Veneman, R.N., CNP

  • Adult Health Nurse Practitioner
  • Sheffield Village, OH
National Provider Identifier
1932532231
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
14858-NP Issued in OH
Practice address
5319 Hoag Dr Ste 210a
Sheffield Village, OH 44035-1494
Phone
(440) 723-5685
Fax
(440) 723-5686
NPI assigned
Aug 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 14858-NP OH Primary

Addresses

Primary practice location

5319 Hoag Dr Ste 210a
Sheffield Village, OH 44035-1494

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 626-6161

Other practice location 1

5700 Cooper Foster Park Rd W
Lorain, OH 44053-4140
Phone (440) 204-7400

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
I20130930000456 OH Practitioner - Nurse Practitioner 9436383700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

3004 Hayes Ave
Sandusky, OH 44870-5321
Phone (419) 609-1112

6055 Park Square Dr
Lorain, OH 44053-4154
Phone (440) 723-5685

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145
  • Fairview Hospital Hospital, Cleveland, OH, CCN 360077
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14858-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Sep 17, 2018 Accepting new patients
Northern Ohio Medical Specialists LLC CurrentSince Sep 17, 2018 Accepting new patients
Northern Ohio Medical Specialists,LLC Past Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients

Locations

6055 Park Square Dr
Lorain, OH 44053
Phone (440) 723-5685

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

5319 Hoag Dr
Ste 210A
Sheffield Village, OH 44035
Phone (440) 723-5685

Interoperability endpoints

  • Direct secure messaging: mveneman20859@nomshealthcare.direct-ci.com

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 6

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": "1376092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1932532231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-626-6161",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 HOAG DR STE 210A",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440351494",
            "telephone_number": "440-723-5685",
            "fax_number": "440-723-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Cooper Foster Park Rd W",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440534140",
            "country_code": "US",
            "telephone_number": "440-204-7400",
            "fax_number": "440-204-7203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VENEMAN",
        "first_name": "MICHELLE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "R.N., CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-10",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "14858-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield Village, OH

Sources for this page

Verify at the official NPI Registry.