MICHELLE WADDLES CRIMES
NPI 1023644226
Nurse Practitioner - Family in Louisville, KY

Q: What is Michelle Waddles Crimes's NPI number?

The NPI number for Michelle Waddles Crimes is 1023644226. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Q: What is Michelle Waddles Crimes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 19, 2020PECOS Enrolled

3039 BRECKENRIDGE LN, LOUISVILLE, KY 40220(502) 452-6445 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2026, Oct 9, 2025, Feb 18, 2025 and 2 more (5 updates tracked since 2020).

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About Michelle Waddles Crimes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE WADDLES CRIMES (NPI 1023644226) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4012861) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lebanon, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023644226

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE WADDLES CRIMES

Location Address3039 BRECKENRIDGE LNLouisville, KY 40220-2101

Mailing Address757 W Main StLebanon, KY 40033-1838 · (270) 972-4186

Phone(502) 452-6445

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 19, 2020

Last NPPES UpdateApril 28, 20265 updates tracked since enumeration

NPPES CertifiedApril 28, 2026

✔ NPI 1023644226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 4012861

Also ListedRegistered NurseTaxonomy 163W00000X · License 1089526 (KY)

3039 BRECKENRIDGE LN, Louisville, KY 40220

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Secondary Practice Location 1

Location 1757 W Main StLebanon, KY 40033-1838 · Phone (270) 972-4186

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Waddles Crimes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507336948

PECOS Enrollment IDI20260527003404

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA BRODSKY RPH

Pharmacist