DR. MIA MICHELENA D.O.
NPI 1366485005
Internal Medicine in Lansing, MI
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
Specialties & Licenses
Other Names 1
Other Identifiers 11
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Mia Michelena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60657
- Reassigned Medicare billing, Illinois enrollment
- 4,870 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, ILPhysician 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.
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
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.
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.
LANSING, MI 48912
LANSING, MI 48912
LANSING, MI 48912
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.
Which organization bills Medicare for Mia Michelena's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mia Michelena reassigns Medicare benefits to Advocate Health And Hospitals Corp. (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mia Michelena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Mia Michelena, D.O. · NPI 1366485005
Internal Medicine physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1366485005 (Entity type: Individual)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036149453 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1540 LAKE LANSING RD, STE 102, Lansing, MI 48912-3756
- **Phone:** (517) 913-3810 · **Fax:** (517) 913-3811
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advocate Health And Hospitals Corp. (NPI 1487951711, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2003
## Record status
- **NPPES last updated:** December 21, 2021
- **Other identifiers:** Other 1022116 (MI); Other 200000002785 (MI); Other P00338685 (MI); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1366485005) · Data from the CMS NPPES public registry.