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MICHELLE LEE TWOMBLY CNP
NPI 1467409896
Nurse Practitioner - Family in Medina, OH

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
3780 MEDINA RD, SUITE 310, MEDINA, OH 44256(330) 725-8441(330) 725-8442 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michelle Lee Twombly Cnp NPPES

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

MICHELLE LEE TWOMBLY CNP (NPI 1467409896) is an individual family provider in Medina, Ohio, licensed in Ohio (NP-07063) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1467409896
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LEE TWOMBLYCredential: CNP
Location Address3780 MEDINA RD, SUITE 310Medina, OH 44256-5947
Mailing Address6110 Emerald Lakes DrMedina, OH 44256-7443 · (330) 241-4317
Phone(330) 725-8441
Fax(330) 725-8442
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 30, 2006
Last NPPES UpdateDecember 23, 2010
✔ NPI 1467409896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · NP-07063
3780 MEDINA RD, Medina, OH 44256
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedTWNP11462OH
Medicare UPINP69775OH
Medicaid2356123OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

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

Michelle Lee Twombly Cnp 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 ID9638106339
PECOS Enrollment IDI20050725000861
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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Twombly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Primary Care Practices Inc
0.3 mi
Internal Medicine
4001 CARRICK DR STE 210
Medina, OH 44256
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 clinicians in this Medicare group
NPI 1295865087 (330) 725-3009

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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services53 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
66 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 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.

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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
5%152 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
49%108 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
80%169 patients4/55-star benchmark: 100%
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…
78%171 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
55%76 patients3/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 15

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

DR. GLENNA S JACKSON M.D.
Family Medicine
3780 MEDINA RD, STE. 310
MEDINA, OH 44256
Medina County (330) 725-8441
DR. STEVEN ALLEN WANEK M.D.
Surgery
3780 MEDINA RD, STE. 200
MEDINA, OH 44256
Medina County (330) 722-3083
SUMMA HEALTH SYSTEM
Clinic/Center (Corporate Health)
3780 MEDINA RD
MEDINA, OH 44256
Medina County (330) 721-1177
NP MEDICAL SOLUTIONS LLC
Registered Nurse (General Practice)
3780 MEDINA RD, STE# 310
MEDINA, OH 44256
Medina County (330) 952-1382
MRS. SUSAN E WRIGHT RWCNP
Nurse Practitioner
3780 MEDINA RD, SUITE 220
MEDINA, OH 44256
Medina County (330) 723-6060
PATRICK J. NAPLES M.D.
Obstetrics & Gynecology
3780 MEDINA RD, SUITE 210
MEDINA, OH 44256
Medina County (330) 722-7664
MEDINA-SUMMIT AMBULATORY SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
3780 MEDINA RD
MEDINA, OH 44256
Medina County (330) 952-0014
KRISTEN E DAWSON M.D.
Surgery
3780 MEDINA RD, STE. 200
MEDINA, OH 44256
Medina County (330) 722-3083

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 Michelle Twombly's NPI number?

The NPI number for Michelle Twombly is 1467409896. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Michelle Twombly located?

Michelle Twombly practices at 3780 Medina Rd Suite 310, Medina, OH 44256. The listed phone number is (330) 725-8441.

What is Michelle Twombly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Twombly enrolled in Medicare?

Yes. Michelle Twombly 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 Michelle Twombly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Twombly reassigns Medicare benefits to University Primary Care Practices Inc (Medina, OH). 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 Michelle Twombly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Twombly accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Michelle Twombly 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.

Is Michelle Twombly affiliated with any hospitals?

According to CMS data, Michelle Twombly is affiliated with Parma Community General Hospital, Uh Cleveland Medical Center and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Michelle Twombly was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.