Individual provider Active NPI

Michael A Rocha, APRN.CNP, FNP-C

  • Family Nurse Practitioner
  • Medina, OH
National Provider Identifier
1952093593
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0033775 Issued in OH
Practice address
5190 Crown Pointe Dr
Medina, OH 44256-6846
Phone
(216) 905-7323
NPI assigned
May 23, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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 0033775 OH Primary

Addresses

Primary practice location

5190 Crown Pointe Dr
Medina, OH 44256-6846

Mailing address

5190 Crown Pointe Dr
Medina, OH 44256-6846
Phone (216) 905-7323

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
I20230829003150 OH Practitioner - Nurse Practitioner 6002279742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Urgent Care, LLCGroup PAC ID 3971985607, 109 clinicians

Practice addresses (Care Compare)

716 N Court St
Medina, OH 44256-1748
Phone (330) 426-8700

Merit-based Incentive Payment System (MIPS)

Final score
76.8 of 100Reported as group
Quality
69.32
Improvement activities
40
Cost
78.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0033775OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Urgent Care, LLC CurrentSince Sep 9, 2024 Accepting new patients
University Hospitals Urgent Care, LLC CurrentSince Sep 9, 2024 Accepting new patients

Locations

3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800

716 N Court St
Medina, OH 44256
Phone (330) 426-8700

Interoperability endpoints

  • Direct secure messaging: mrocha621799@ehrdirect.uhhospitals.org
  • Direct secure messaging: michael.rocha.1@19801.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1952093593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 CROWN POINTE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566846",
            "telephone_number": "216-905-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 CROWN POINTE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566846",
            "telephone_number": "216-905-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "APRN.CNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0033775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.