Individual provider Active NPI

Michelle Dawn Garrett, NP

  • Nurse Practitioner
  • Marietta, OH
National Provider Identifier
1972014371
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.021855 Issued in OH
Practice address
400 Matthew St Ste 302
Marietta, OH 45750-1656
Phone
(740) 568-5207
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.021855 OH Primary

Addresses

Primary practice location

400 Matthew St Ste 302
Marietta, OH 45750-1656

Mailing address

418 1/2 Colegate Drive
Marietta, OH 45750-9549
Phone (740) 374-6090

Other practice location 1

800 Garfield Ave
Parkersburg, WV 26101-5340
Phone (304) 422-0405

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGMedicaidWV
PENDINGMedicaidOH

Other names 1

  • Michelle Dawn Welch Former name

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
I20171101000834 OH Practitioner - Nurse Practitioner 3779859020

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Organizations & group practices 1

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1972014371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 1/2 COLEGATE DRIVE",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-374-6090",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 302",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501656",
            "telephone_number": "740-568-5207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015340",
            "country_code": "US",
            "telephone_number": "304-422-0405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WELCH",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.