MICHELLE LYNN GROMOFSKY NP-C
NPI 1336692433
Nurse Practitioner - Family in Columbus, OH

NPI Status: Active since July 26, 2016

Contact Information

5193 W BROAD ST
COLUMBUS, OH
ZIP 43228
Phone: (614) 544-1450
Fax: (614) 533-0136

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About MICHELLE GROMOFSKY

This page provides the complete NPI Profile along with additional information for Michelle Gromofsky, a provider established in Columbus, Ohio with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1336692433 assigned on July 2016. The practitioner's primary taxonomy code is 363LF0000X with license number APRN.CNP.19258 (OH). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1336692433
Provider Name
MICHELLE LYNN GROMOFSKY NP-C
Gender
Female
Entity Type
Individual
Location Address
5193 W BROAD ST COLUMBUS, OH 43228
Location Phone
(614) 544-1450
Location Fax
(614) 533-0136
Mailing Address
5400 FRANTZ RD STE 250 DUBLIN, OH 43016
Is Sole Proprietor?
No
Enumeration Date
07-26-2016
Last Update Date
05-19-2017
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A nurse practitioner (NP) like Michelle Gromofsky 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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APRN.CNP.19258
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Michelle Gromofsky 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 43228 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.

Reviews for MICHELLE LYNN GROMOFSKY NP-C

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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.
1336692433
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366129446
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 9 + 4 + 4 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1336692433 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

JANET ROWSE OTR/L

Occupational Therapist

5193 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-1693

LAURA WEGENER

Physical Therapist

(Orthopedic)

5193 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-1951

TRISHA CONLAN PT

Physical Medicine & Rehabilitation

5193 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-1951

KIRSTAN LAW PTA

Physical Therapy Assistant

5193 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 599-5876

PAUL EDWARD HARRIS III D.O.

Family Medicine

5193 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-1450

DR. STEVEN N MILLER D.O.

Obstetrics & Gynecology

5193 W BROAD ST
SUITE 200
COLUMBUS, OH
ZIP 43228

(614) 788-3700

DR. JESSE LEE CAPONE M.D.

Family Medicine

5193 W BROAD ST
COLUMBUS, OH
ZIP 43228

(614) 544-1450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336692433, enumerated as an "individual" on July 26, 2016.

The provider is located at 5193 W BROAD ST COLUMBUS, OH 43228 and the phone number is (614) 544-1450.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.