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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: July 19, 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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

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.

Areas of Expertise CMS Part B claims 9

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, 20-29 minutes 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.
63 services56 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
57 services45 patients
Annual alcohol misuse screening, 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
26 services26 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.
25 services25 patients
Annual depression screening, 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
25 services25 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.
22 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 16

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

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
KRISTEN E DAWSON M.D.
Surgery
3780 MEDINA RD, STE. 200
MEDINA, OH 44256
Medina County (330) 722-3083
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
MEDINA-SUMMIT AMBULATORY SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
3780 MEDINA RD
MEDINA, OH 44256
Medina County (330) 952-0014
EMERGENCY MEDICINE PHYSICIANS OF LAKE MEDINA, LTD
Emergency Medicine
3780 MEDINA RD
MEDINA, OH 44256
Medina County (877) 504-7849
DESIREE ELAINE DONCALS M.D.
Radiology (Radiation Oncology)
3780 MEDINA RD, 1ST FLOOR
MEDINA, OH 44256
Medina County (330) 721-6825

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.

What insurance does Michelle Twombly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer 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 with the weekly NPPES data releases published by CMS.