Michael Jerome Weller, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.14647 Issued in OH

Practice address

9775 Colerain Ave
Cincinnati, OH 45251-1442

Phone

(513) 853-9700

Fax

(513) 852-8971

NPI assigned

Jul 9, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, KY2 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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Trihealth U LLCGroup PAC ID 5799110953, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bethesda North Hospital, Cincinnati, OH, CCN 360179

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mweller320213@direct.trihealth.com

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.

• Trihealth U LLC

  • Community Health Clinic/Center
  • Cincinnati, OH
  • NPI 1528605177
  Medicare reassignment Care Compare group NPD
• Hospice of Cincinnati Incorporated

  • Community Based Hospice Care Agency
  • Cincinnati, OH
  • NPI 1598740011
  Medicare reassignment NPD
• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434

  Nurse Practitioner

  Medicare reassignment NPD
• Summit Medical Group, Inc

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216

  Nurse Practitioner

  Medicare reassignment NPD
• Summit Medical Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Crestview Hills, KY
  • NPI 1043188378
  NPD
• Bethesda Hospital Inc

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1336160308
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1992146740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511442",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511442",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4725 E Galbraith Rd",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362725",
            "country_code": "US",
            "telephone_number": "513-751-2273",
            "fax_number": "513-793-6290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-301-4688",
            "fax_number": "859-301-4601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4310 Cooper Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452425613",
            "country_code": "US",
            "telephone_number": "513-246-9373",
            "fax_number": "513-246-9121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7691 5 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452304348",
            "country_code": "US",
            "telephone_number": "513-246-9700",
            "fax_number": "513-246-9505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5343 Hamilton Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452243130",
            "country_code": "US",
            "telephone_number": "513-246-5360",
            "fax_number": "513-246-5392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLER",
        "first_name": "MICHAEL",
        "middle_name": "JEROME",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-09",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14647-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.14647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellbridge Home Healthcare Solutions
• Amy Weller
• Elizabeth Marie Weller, AU.D.
• Giselle S Weller, MD
• Meagan Weller
• Sarah Marie Weller, LISW-S
• Amy Mae Welling
• Grant Welling
• Richard Edward Welling, M.D.
• Robin Welling, RN

• Family Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.

Verify at the official NPI Registry.