1. Home
  2. Directory
  3. Michigan
  4. Lansing
  5. Internal Medicine
  6. NPI Profile

DR. MIA MICHELENA D.O.
NPI 1366485005
Internal Medicine in Lansing, MI

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
1540 LAKE LANSING RD, STE 102, LANSING, MI 48912(517) 913-3810(517) 913-3811 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2021, May 30, 2019 (2 updates tracked since 2019).

About Dr. Mia Michelena D.o. NPPES

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

DR. MIA MICHELENA D.O. (NPI 1366485005) is an individual internal medicine provider in Lansing, Michigan, licensed in Illinois (036149453) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1366485005
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MIA MICHELENACredential: D.O.
Location Address1540 LAKE LANSING RD, STE 102Lansing, MI 48912-3756
Mailing Address1775 Dempster St, Rm E592bPark Ridge, IL 60068-1143 · (517) 913-3810 · Fax (517) 913-3811
Phone(517) 913-3810
Fax(517) 913-3811
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2003
Enumeration DateJune 13, 2006
Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
✔ NPI 1366485005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036149453✔ Licensed in MI · 5101015690
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1540 LAKE LANSING RD, Lansing, MI 48912
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Mia F Wimberley D.o.

Other Identifiers 11

Other1022116MI · Mclaren Health Plan-commercial
Other200000002785MI · Php
OtherP00338685MI · Railroad Medicare
Other1153311825MI · Blue Care Network
OtherM21440049MI · Medicare Advantage
Other1022116MI · Mclaren Health Plan-medicaid
Other1153311825MI · Blue Cross Blue Shield
Medicaid4849578MI
Other7419836MI · Aetna
Other1022116MI · Mclaren Health Advantage
Other200000002785MI · Php Familycare

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

Dr. Mia Michelena D.o. 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 ID6608883574
PECOS Enrollment IDI20190605003196
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
526 services233 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
157 services86 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
156 services149 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
62 services59 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services12 patients

Hospital Affiliations CMS Care Compare

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

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48912 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%221 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$60.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ROBERT J WOLF MD
Radiology (Diagnostic Radiology)
1540 LAKE LANSING RD, SUITE 107
LANSING, MI 48912
Ingham County (517) 913-3800
DR. HARRY JAMES MCCOY M.D.
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Ingham County (517) 913-3900
JILL MARIE-BURTON KNOX PA
Physician Assistant
1540 LAKE LANSING RD, SUITE G02
LANSING, MI 48912
Ingham County (517) 913-6650
DR. CYNTHIA S. BOYNTON M.D.
Internal Medicine
1540 LAKE LANSING RD, STE 201
LANSING, MI 48912
Ingham County (517) 913-3900
MID-MICHIGAN PODIATRY, PC
Podiatrist (Foot & Ankle Surgery)
1540 LAKE LANSING RD, SUITE 102
LANSING, MI 48912
Ingham County (517) 913-3855
IRENE T BAKER NP
Nurse Practitioner
1540 LAKE LANSING RD, SUITE 205
LANSING, MI 48912
Ingham County (517) 913-3910
EDWARD W SPARROW HOSPITAL ASSOCIATION
Obstetrics & Gynecology
1540 LAKE LANSING RD, SUITE 205
LANSING, MI 48912
Ingham County (517) 913-3910
DR. CHAD MICHAEL GERRISH D.O.
Internal Medicine
1540 LAKE LANSING RD, SUITE 102
LANSING, MI 48912
Ingham County (517) 913-3810

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 Mia Michelena's NPI number?

The NPI number for Mia Michelena is 1366485005. It was assigned to this individual provider in the NPPES registry on June 13, 2006. The provider is also known as Dr. Mia F Wimberley D.O..

Where is Mia Michelena located?

Mia Michelena practices at 1540 Lake Lansing Rd Ste 102, Lansing, MI 48912. The listed phone number is (517) 913-3810.

What is Mia Michelena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mia Michelena enrolled in Medicare?

Yes. Mia Michelena 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.

Is Mia Michelena affiliated with any hospitals?

According to CMS data, Mia Michelena is affiliated with Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Mia Michelena was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.