MICHELLE ANN TIBBETTS
NPI 1215271606
Nurse Practitioner - Family in Kent, OH

Q: What is Michelle Tibbetts's NPI number?

The NPI number for Michelle Tibbetts is 1215271606. It was assigned to this individual provider in the NPPES registry on November 26, 2012.

Q: What is Michelle Tibbetts's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Tibbetts was last updated on May 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 26, 2012PECOS Enrolled

1500 EASTWAY DR, KENT, OH 44242(330) 672-2322 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michelle Ann Tibbetts NPPES

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

MICHELLE ANN TIBBETTS (NPI 1215271606) is an individual family provider in Kent, Ohio, licensed in Ohio (020987) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215271606

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE ANN TIBBETTS

Location Address1500 EASTWAY DRKent, OH 44242-5019

Mailing Address1500 Eastway DrKent, OH 44242-0001 · (330) 672-2322

Phone(330) 672-2322

Sole ProprietorYes

Enumeration DateNovember 26, 2012

Last NPPES UpdateMay 9, 2018

✔ NPI 1215271606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in OH · 020987✔ Licensed in CO · 0990810

1500 EASTWAY DR, Kent, OH 44242

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 Ann Tibbetts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 44242 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 6

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

KENT STATE UNIVERSITY

Clinic/Center (Student Health)