TAMMY LYNN MICCO N.P.
NPI 1265835102
Nurse Practitioner in Canton, OH

Q: What is Tammy Micco's NPI number?

The NPI number for Tammy Micco is 1265835102. It was assigned to this individual provider in the NPPES registry on October 7, 2014.

Q: What is Tammy Micco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Micco was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since October 07, 2014PECOS Enrolled

4650 HILLS AND DALES RD NW, CANTON, OH 44708(330) 649-9400(330) 649-8059 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tammy Lynn Micco N.p. NPPES

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

TAMMY LYNN MICCO N.P. (NPI 1265835102) is an individual nurse practitioner in Canton, Ohio, licensed in Ohio (NP16567) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265835102

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTAMMY LYNN MICCOCredential: N.P.

Location Address4650 HILLS AND DALES RD NWCanton, OH 44708

Mailing Address4650 Hills And Dales Rd NwCanton, OH 44708 · (330) 649-9400 · Fax (330) 649-8059

Phone(330) 649-9400

Fax(330) 649-8059

Sole ProprietorYes

Enumeration DateOctober 7, 2014

Last NPPES UpdateOctober 14, 2019

✔ NPI 1265835102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in OH · NP16567✔ Licensed in OH · 16567

Definition

(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.

4650 HILLS AND DALES RD NW, Canton, OH 44708

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Other Identifiers 1

Other16567OH · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.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)

Tammy Lynn Micco N.p. 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 44708 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.

Other Providers at the Same Location NPPES 20

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

BETSY D EKEY PA-C

Physician Assistant (Medical)

4650 HILLS AND DALES RD NW
CANTON, OH 44708

Stark County (330) 491-9675

CHRISTOPHER MICHAEL PERRY PT

Physical Therapist

4650 HILLS AND DALES RD NW, SUITE 100
CANTON, OH 44708

Stark County (330) 477-9720

DR. RACHID SOULEYE DO

Preventive Medicine (Occupational Medicine)

4650 HILLS AND DALES RD NW
CANTON, OH 44708

Stark County (330) 491-9675

MS. LAURA R. PIERCE CNP

Nurse Practitioner (Primary Care)

4650 HILLS AND DALES RD NW
CANTON, OH 44708

Stark County (330) 491-9675

MRS. MORGAN RAE CASTO PT

Physical Therapist

4650 HILLS AND DALES RD NW
CANTON, OH 44708

Stark County (330) 491-9675

DR. JANICE LYNN BREMEN D.O.

Family Medicine

4650 HILLS AND DALES RD NW
CANTON, OH 44708

Stark County (330) 491-9675

ERIC WILLIAMS

Physical Therapy Assistant

4650 HILLS AND DALES RD NW
CANTON, OH 44708

Stark County (330) 491-9675

DARRYL ARTHUR HANCOCK PT

Specialist

4650 HILLS AND DALES RD NW, SUITE 100
CANTON, OH 44708

Stark County (330) 477-9720

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 Tammy Micco's NPI number?

The NPI number for Tammy Micco is 1265835102. It was assigned to this individual provider in the NPPES registry on October 7, 2014.

Where is Tammy Micco located?

Tammy Micco practices at 4650 Hills And Dales Rd NW, Canton, OH 44708. The listed phone number is (330) 649-9400.

What is Tammy Micco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tammy Micco enrolled in Medicare?

Yes. Tammy Micco is registered in the Medicare PECOS enrollment system.

What insurance does Tammy Micco accept?

Health plans from MedMutual list Tammy Micco 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.

When was this NPI record last updated?

The NPPES record for Tammy Micco was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.