Michelle Lynn Smith , APRN-CNP
Nurse Practitioner โข Toledo, OH
4235 Secor Rd
Toledo, OH 436234299
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 1, 2023; this date does not establish years in practice.
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Published CMS data list 1,049 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 360 service units.
- 99309 โ Subsequent nursing facility care with moderate level of medical decision making, per day: 328 service units.
- 99484 โ Care management services for behavioral health conditions: 105 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 9 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 663 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Divalproex Sodium โ 68 prescription fills, including refills.
- Buspirone Hcl โ 47 prescription fills, including refills.
- Lorazepam โ 32 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 31 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Toledo, OH (2024, 80 clinicians with data). Median for this group: 226. Middle half: 128 to 489.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 545 in 2023 to 1,049 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
4235 Secor Rd
Toledo, OH 436234299
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Geriatric Psychiatric Services Pllc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2023
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
258 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $76,966 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $59,316 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
769 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$37,459 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $987.50 across 31 records.
By nature of payment
- Food and Beverage: $888.51 across 29 records.
- Education: $98.99 across 2 records.
Reporting-company totals (3 largest of 9)
- AstraZeneca Pharmaceuticals LP: $584.72 across 15 records.
- Amgen Inc.: $165.22 across 8 records.
- HARMONY BIOSCIENCES LLC: $64.99 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
3 years (graduated 2023)
CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2023
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Michelle Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Michelle Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Toledo and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Toledo, OH (2024, 80 clinicians with data). Median for this group: 226. Middle half: 128 to 489.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: 200. Middle half: 88 to 433.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Toledo, OH (2024, 80 clinicians with data). Median for this group: $18,091. Middle half: $10,154 to $40,533.
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $14,983. Middle half: $6,723 to $30,403.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Toledo, OH (2024, 80 clinicians with data). Median for this group: $13,347. Middle half: $7,480 to $29,727.
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,810 clinicians with data). Median for this group: $11,287. Middle half: $4,812 to $22,230.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Toledo, OH (2024, 77 clinicians with data). Median for this group: 391. Middle half: 154 to 2,078.
More Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: 341. Middle half: 95 to 1,344.
Part D drug cost
Close to the middle for clinicians listed under Nurse Practitioner in Toledo, OH (2024, 77 clinicians with data). Median for this group: $25,141. Middle half: $1,445 to $294,332.
Close to the middle for clinicians listed under Nurse Practitioner in Ohio (2024, 1,946 clinicians with data). Median for this group: $17,171. Middle half: $1,153 to $140,965.
129 active clinicians are listed under Nurse Practitioner with a practice address in Toledo, OH (4,257 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Toledo
7.8% of these 129 clinicians have the CMS telehealth indicator.
64.3% of these 129 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 92% from 545 in 2023 to 1,049 in 2024.
- 2023: 545
- 2024: 1,049
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Medicare-allowed amount
Medicare-allowed amount increased 102% from $38,026 in 2023 to $76,966 in 2024.
- 2023: $38,026
- 2024: $76,966
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Paid by Medicare
Paid by Medicare increased 97% from $30,059 in 2023 to $59,316 in 2024.
- 2023: $30,059
- 2024: $59,316
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 203% from 219 in 2023 to 663 in 2024.
- 2023: 219
- 2024: 663
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30-day fills
30-day fills increased 222% from 239 in 2023 to 769 in 2024.
- 2023: 239
- 2024: 769
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Part D drug cost
Part D drug cost increased 482% from $6,434 in 2023 to $37,459 in 2024.
- 2023: $6,434
- 2024: $37,459
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $57.34 in 2023 to $987.50 in 2025.
- 2023: $57.34
- 2024: $1,108.71
- 2025: $987.50
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 31 records totaling $987.50.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $125.00 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
AIRSUPRA | General | $124.56 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $109.15 |
| HARMONY BIOSCIENCES LLC |
Education
In-kind items and services
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โ | General | $64.99 |
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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KEVZARA | General | $34.81 |
| Amgen Inc. |
Education
In-kind items and services
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โ | General | $34.00 |
| Verona Pharma, Inc. |
Food and Beverage
Cash or cash equivalent
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Ohtuvayre | General | $32.91 |
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
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INSPIRE | General | $23.53 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $23.32 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $22.49 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $22.31 |
| Boehringer Ingelheim Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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OFEV | General | $22.25 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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AIRSUPRA | General | $21.79 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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NUCALA | General | $21.20 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $20.51 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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NUCALA | General | $20.02 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
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BREZTRI | General | $19.91 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $19.45 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $18.80 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
TEZSPIRE | General | $18.64 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $18.28 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
TEZSPIRE | General | $18.18 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
TEZSPIRE | General | $18.18 |
| ANI Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
|
PURIFIED CORTROPHIN GEL | General | $17.85 |
| AstraZeneca Pharmaceuticals LP |
Food and Beverage
In-kind items and services
|
BREZTRI | General | $17.59 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2023โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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360 | 73 | $142.00 | $63.23 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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328 | 118 | $200.00 | $86.62 |
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99484
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional
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105 | 62 | $90.00 | $44.36 |
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99310
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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74 | 45 | $300.00 | $123.79 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
|
70 | 63 | $150.00 | $59.84 |
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
|
52 | 23 | $135.00 | $59.61 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
22 | 19 | $141.00 | $72.38 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
21 | 17 | $205.00 | $94.90 |
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99304
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
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17 | 17 | $200.00 | $64.71 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Divalproex Sodium | Divalproex Sodium | 68 | 1,483 | $1,935.20 | 14 |
| Buspirone Hcl | Buspirone Hcl | 47 | 1,119 | $736.98 | 14 |
| Lorazepam | Lorazepam | 32 | 438 | $144.89 | โ |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 30 | 455 | $496.95 | 13 |
| Lactulose | Lactulose | 28 | 236 | $894.36 | โ |
| Metoprolol Tartrate | Metoprolol Tartrate | 25 | 1,295 | $264.82 | โ |
| Clonazepam | Clonazepam | 25 | 421 | $216.93 | โ |
| Diclofenac Sodium | Diclofenac Sodium | 24 | 246 | $935.09 | โ |
| Spiriva Handihaler | Tiotropium Bromide | 24 | 140 | $3,334.33 | โ |
| Trazodone Hcl | Trazodone Hcl | 23 | 564 | $213.56 | โ |
| Oxycodone Hcl | Oxycodone Hcl | 22 | 172 | $306.53 | โ |
| Sertraline Hcl | Sertraline Hcl | 21 | 508 | $193.23 | โ |
| Metformin Hcl | Metformin Hcl | 21 | 604 | $127.06 | โ |
| Alprazolam | Alprazolam | 20 | 480 | $80.13 | โ |
| Quetiapine Fumarate | Quetiapine Fumarate | 20 | 502 | $350.44 | โ |
| Trulicity | Dulaglutide | 19 | 315 | $12,194.30 | โ |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | 194 | $143.96 | โ |
| Lacosamide | Lacosamide | 17 | 240 | $1,601.66 | โ |
| Levothyroxine Sodium | Levothyroxine Sodium | 16 | 1,260 | $261.74 | โ |
| Eliquis | Apixaban | 16 | 372 | $7,589.04 | โ |
| Phenobarbital | Phenobarbital | 16 | 240 | $102.24 | โ |
| Lisinopril | Lisinopril | 15 | 1,110 | $92.14 | โ |
| Tramadol Hcl | Tramadol Hcl | 15 | 199 | $724.12 | โ |
| Famotidine | Famotidine | 15 | 603 | $232.45 | โ |
| Atorvastatin Calcium | Atorvastatin Calcium | 14 | 1,020 | $205.50 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-07-12NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20230815001078
OH
0446612071
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Geriatric Psychiatric Services Pllc
1715 Indian Wood Cir, Maumee, OH 435374055
Phone: 8779069699
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Gerontology
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
Nurse Practitioner
Nurse Practitioner - Acute Care
Nurse Practitioner
Career & Practice History
NPI enumerated May 01, 2023.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from May 2023 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Toledo
- Jennifer Ruckstuhl, NP
- Diego Perez, NP
- Brenda Drummond, MSN, CNP, CNS
- Jennifer Smith, CNP
- Kristen Rodriguez
- Rosemary French, CNP
Mailing Address
128 Birchcrest Dr
Perrysburg, OH 435511801
Phone: 4195086707