TAMMY LYNN MICCO N.P.
NPI 1265835102
Nurse Practitioner in Canton, OH
NPI Status: Active since October 07, 2014
Contact Information
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
Phone: (330) 649-9400
Fax: (330) 649-8059
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
About TAMMY MICCO
This page provides the complete NPI Profile along with additional information for Tammy Micco, a provider established in Canton, Ohio with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1265835102 assigned on October 2014. The practitioner's primary taxonomy code is 363L00000X with license number NP16567 (OH). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1265835102
- Provider Name
- TAMMY LYNN MICCO N.P.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4650 HILLS AND DALES RD NW CANTON, OH 44708
- Location Phone
- (330) 649-9400
- Location Fax
- (330) 649-8059
- Mailing Address
- 4650 HILLS AND DALES RD NW CANTON, OH 44708
- Mailing Phone
- (330) 649-9400
- Mailing Fax
- (330) 649-8059
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-07-2014
- Last Update Date
- 10-14-2019
- Code Navigator
A nurse practitioner (NP) like Tammy Micco is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NP16567
- License State
- OH
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 16567 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- AultCare Bronze 7000 Select - PPO
- AultCare Bronze 8550 Select No Pediatric Dental - PPO
- AultCare Gold 1100 Select - PPO
- AultCare Gold 1100 Select No Pediatric Dental - PPO
- AultCare Silver 6550 Select No Pediatric Dental - PPO
- AultCare Silver 7900 Premier Select No Pediatric Dental - PPO
- AultCare Standard Bronze Select No Pediatric Dental - PPO
- AultCare Standard Gold Select No Pediatric Dental - PPO
- AultCare Standard Silver Premier Select No Pediatric Dental - PPO
- AultCare Standard Silver Select No Pediatric Dental - PPO
- AultCare Bronze 5500 - PPO
- AultCare Bronze 7050 - PPO
- AultCare Gold 1000 - PPO
- AultCare Gold 1200 - PPO
- AultCare Gold 1800 - PPO
- AultCare Gold 2850 - PPO
- AultCare Gold 3150 - PPO
- AultCare Platinum 1200 - PPO
- AultCare Platinum 1800 Health Savings 500 - PPO
- AultCare Platinum 300 - PPO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16567 | OTHER (01) | OH | LICENSE NUMBER |
Medicare Participation & PECOS Enrollment Status
Tammy Micco is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 44708 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 8 | 3 | 5 | 1 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 3 | 10 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 3 + 1 + 0 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1265835102 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
KELLY A. FRYER-TISEVICH P.T.
Specialist
4650 HILLS AND DALES RD NW
SUITE 100
CANTON, OH
ZIP 44708
LORI MCGONAGLE O.T.
Specialist
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
MR. JONATHAN K KESSEL P.T.
Specialist
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
BETSY D EKEY PA-C
Physician Assistant
(Medical)
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
CHRISTOPHER MICHAEL PERRY PT
Physical Therapist
4650 HILLS AND DALES RD NW
SUITE 100
CANTON, OH
ZIP 44708
DARRYL ARTHUR HANCOCK PT
Specialist
4650 HILLS AND DALES RD NW
SUITE 100
CANTON, OH
ZIP 44708
MS. LAURA R. PIERCE CNP
Nurse Practitioner
(Primary Care)
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
GENEVIEVE M BAUMGARDNER P.T.
Physical Therapist
(Orthopedic)
4650 HILLS AND DALES RD NW
SUITE 100
CANTON, OH
ZIP 44708
DANA J DOMER P.A.
Physician Assistant
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
MALCOLM FORD AT
Specialist/Technologist
(Athletic Trainer)
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
MRS. MORGAN RAE CASTO PT
Physical Therapist
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
ERIC WILLIAMS
Physical Therapy Assistant
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
JOHN R GARTON MD
Internal Medicine
(Nephrology)
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
DR. ANTHONY JOSEPH DEGENHARD D.O.
Internal Medicine
(Nephrology)
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
MRS. AMY L HAZEL C.N.P.
Nurse Practitioner
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
DR. JEHAD YUSEF ASFOURA M.D.
Internal Medicine
(Nephrology)
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
DR. JAMES MELVIN RAJAN M.D.
Internal Medicine
(Nephrology)
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
DAYANAND MAKEY MD
Internal Medicine
(Nephrology)
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
MR. BHAVNISH BUCKTOWARSING M.D.
Internal Medicine
(Nephrology)
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
KYLA MAE FRANK APRN, CNP
Nurse Practitioner
4650 HILLS AND DALES RD NW
CANTON, OH
ZIP 44708
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265835102, enumerated as an "individual" on October 07, 2014.
The provider is located at 4650 HILLS AND DALES RD NW CANTON, OH 44708 and the phone number is (330) 649-9400.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, AultCare. Please consult your insurance carrier or call the provider to verify.
