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MICHELLE O'HEARN
NPI 1265015127
Nurse Practitioner - Family in Frankenmuth, MI

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment
1027 W GENESEE ST, FRANKENMUTH, MI 48734(989) 652-5210(989) 652-9250 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2024, Jun 11, 2024, Jul 21, 2021 and 2 more (5 updates tracked since 2021).

About Michelle O'hearn NPPES

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

MICHELLE O'HEARN (NPI 1265015127) is an individual family provider in Frankenmuth, Michigan, licensed in Michigan (4704306788) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265015127
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE O'HEARN
Location Address1027 W GENESEE STFrankenmuth, MI 48734-1302
Mailing Address1027 W Genesee StFrankenmuth, MI 48734-1302 · (989) 652-5210 · Fax (989) 652-9250
Phone(989) 652-5210
Fax(989) 652-9250
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 29, 2021
Last NPPES UpdateAugust 25, 20255 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1265015127 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
License✔ Licensed in MI · 4704306788
1027 W GENESEE ST, Frankenmuth, MI 48734
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle O'hearn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618377201
PECOS Enrollment IDI20210618001878
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
164 services117 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services60 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48734 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Other Providers at the Same Location NPPES 10

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

MS. JESSICA LYNN DAWSON MD, MSC
Family Medicine
1027 W GENESEE ST
FRANKENMUTH, MI 48734
Saginaw County (989) 652-5210
DR. CARMEN C SZILAGYI M.D.
Family Medicine
1027 W GENESEE ST
FRANKENMUTH, MI 48734
Saginaw County (989) 652-5230
ALEC BERGMAN PA-C
Physician Assistant
1027 W GENESEE ST
FRANKENMUTH, MI 48734
Saginaw County (989) 652-5210
DR. JANET M BACH D.O.
Family Medicine
1027 W GENESEE ST
FRANKENMUTH, MI 48734
Saginaw County (989) 652-5220
HOPE & HEALING COUNSELING, LLC
Counselor (Mental Health)
1027 W GENESEE ST, TENTATIVE ADDRESS
FRANKENMUTH, MI 48734
Saginaw County (989) 928-3150
DR. PATRICK J BOTZ D.O.
Family Medicine
1027 W GENESEE ST
FRANKENMUTH, MI 48734
Saginaw County (989) 652-5210
MYMICHIGAN MEDICAL CENTER SAGINAW
Clinic/Center (Rural Health)
1027 W GENESEE ST
FRANKENMUTH, MI 48734
Saginaw County (989) 652-5210
ELIZABETH M. MARSHALL MD
Family Medicine
1027 W GENESEE ST
FRANKENMUTH, MI 48734
Saginaw County (989) 652-5210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle O'hearn's NPI number?

The NPI number for Michelle O'hearn is 1265015127. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Michelle O'hearn located?

Michelle O'hearn practices at 1027 W Genesee St, Frankenmuth, MI 48734. The listed phone number is (989) 652-5210.

What is Michelle O'hearn's specialty?

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

Is Michelle O'hearn enrolled in Medicare?

Yes. Michelle O'hearn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle O'hearn accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Michelle O'hearn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle O'hearn affiliated with any hospitals?

According to CMS data, Michelle O'hearn is affiliated with Covenant Medical Center and Ascension St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Michelle O'hearn was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.