Individual provider Active NPI

Michelle Perry, APRN

  • Family Nurse Practitioner
  • Jackson, OH
National Provider Identifier
1972013407
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0037761 Issued in OH
Practice address
8688 State Route 93
Jackson, OH 45640
Phone
(740) 286-5026
NPI assigned
Oct 11, 2017
Reactivated
Oct 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4036600 KY
Family Nurse Practitioner 363LF0000X 0037761 OH Primary
Family Nurse Practitioner 363LF0000X 114746 WV

Addresses

Primary practice location

8688 State Route 93
Jackson, OH 45640

Mailing address

101 Lakeview LN
Ironton, OH 45638-8097
Phone (740) 547-4287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250327002716 KY Practitioner - Nurse Practitioner 6305369646 Reassigns benefits to 4 organizations
I20250402001954 OH Practitioner - Nurse Practitioner 6305369646 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eventus Ecs, IncGroup PAC ID 2163969650, 243 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians

Practice addresses (Care Compare)

306 W Main St
Suite 512
Frankfort, KY 40601-1840
Phone (855) 743-2247

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

4400 Easton CMNS
Suite 125
Columbus, OH 43219-6223
Phone (855) 743-2247

828 Lane Allen Rd
Suite 219
Lexington, KY 40504-3659
Phone (260) 483-9081

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4036600KYMDFamily Nurse Practitioner
0037761OHMDFamily Nurse Practitioner
114746WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Ecs - Kentucky, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc CurrentSince Oct 1, 2025 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Mar 1, 2025 Accepting new patients
Eventus Ecs, Inc CurrentSince Mar 1, 2025 Accepting new patients
Eventus Ecs - Ohio LLC Family CurrentSince Oct 1, 2025 Accepting new patients
St. Mary'S Medical Management, LLC Past Accepting new patients

Locations

306 W Main St
Ste 512
Frankfort, KY 40601
Phone (860) 215-2295

828 Lane Allen Rd
Ste 219
Lexington, KY 40504

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

Organizations & group practices 6

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 3

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1972013407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKEVIEW LN",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456388097",
            "telephone_number": "740-547-4287",
            "fax_number": "740-532-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8688 STATE ROUTE 93",
            "city": "JACKSON",
            "state": "OH",
            "postal_code": "45640",
            "telephone_number": "740-286-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "deactivation_date": "2024-10-07",
        "reactivation_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4036600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037761",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "114746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, OH

Sources for this page

Verify at the official NPI Registry.