Active NPI
Michele D Massow, FNP
- Family Nurse Practitioner
- Merrillville, IN
National Provider Identifier
1962629683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002178A
- Practice address
- 99 E 86TH Ave
Suite a
Merrillville, IN 46410-6381 - Phone
- (219) 738-2617
- Fax
- (219) 738-2145
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002178A | IN | Primary |
Addresses
Primary practice location
99 E 86TH Ave
Suite a
Merrillville, IN 46410-6381
Mailing address
99 E 86TH Ave
Suite a
Merrillville, IN 46410-6381
Phone (219) 738-2617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110418000219 | IN | Practitioner - Nurse Practitioner | 9537343447 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
99 E 86TH Ave
Suite a
Merrillville, IN 46410-6267
Phone (219) 738-2617
Hospital & facility affiliations
- Franciscan Health Crown Point
- St Mary Medical Center Inc
- Community Hospital
- Powers Health Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carepointe, P.C. | Current | Accepting new patients | |
| Southlake Speech & Hearing Center, Inc | Past | Accepting new patients |
Locations
99 E 86th Ave
Ste A
Merrillville, IN 46410
Phone (219) 738-2528
Interoperability endpoints
- mmassow95397@direct.franciscanalliance.org
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.
-
- Audiologist
- Merrillville, IN
- NPI 1609943380
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962629683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E 86TH AVE",
"address_2": "SUITE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106381",
"telephone_number": "219-738-2617",
"fax_number": "219-738-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E 86TH AVE",
"address_2": "SUITE A",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106381",
"telephone_number": "219-738-2617",
"fax_number": "219-738-2145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSOW",
"first_name": "MICHELE",
"middle_name": "D",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002178A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.