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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE R GILMORE FNP
NPI 1477101038
Nurse Practitioner - Family in Cincinnati, OH

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
70.91/100
CMS Quality Rating
4435 AICHOLTZ RD STE 400, CINCINNATI, OH 45263(513) 947-0400 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Jul 25, 2024, Nov 7, 2023 and 3 more (6 updates tracked since 2019).

About Michelle R Gilmore Fnp NPPES

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

MICHELLE R GILMORE FNP (NPI 1477101038) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.0031395) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dublin, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477101038
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE R GILMORECredential: FNP
Location Address4435 AICHOLTZ RD STE 400Cincinnati, OH 45263-5353
Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (482) 664-2002
Phone(513) 947-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 27, 2019
Last NPPES UpdateSeptember 23, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1477101038 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
Licenses✔ Licensed in OH · APRN.CNP.0031395✔ Licensed in KY · 4011685✔ Licensed in NC · 5012170
4435 AICHOLTZ RD STE 400, Cincinnati, OH 45263
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Secondary Practice Location 1

Location 1545 Metro Pl S Ste 100Dublin, OH 43017-5353 · Phone (518) 391-0133

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 R Gilmore Fnp 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 ID2466880638
PECOS Enrollment IDI20251208001269
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 Reassignments

9

Medicare enrollment records show Michelle Gilmore reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa PC
Same address
Family Medicine
4435 AICHOLTZ RD STE 400
Cincinnati, OH 45245
  • Reassigned Medicare billing, Ohio enrollment
  • 268 clinicians in this Medicare group
NPI 1598089104 (513) 947-0400
Tri-State Hospitalists LLC
8.5 mi
Internal Medicine
6941 KENWOOD RD
Cincinnati, OH 45243
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1952740359 (513) 538-4327
Total Extended Care Services PC
54 mi
Physical Medicine & Rehabilitation
600 W NATIONAL RD
Englewood, OH 45322
  • Reassigned Medicare billing, Ohio enrollment
  • 9 clinicians in this Medicare group
NPI 1699522029 (937) 540-0409
Hospitalist Medicine Physicians Of Ohio, Professional Corporation
98 mi
Internal Medicine
6001 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 776 clinicians in this Medicare group
NPI 1043572290 (614) 234-7535
Panorama Healthcare LLC
222 mi
Nurse Practitioner
1414 S GREEN RD STE 206
Cleveland, OH 44121
  • Reassigned Medicare billing, Ohio enrollment
  • 11 clinicians in this Medicare group
NPI 1558992842 (216) 759-4825
Best Day Psychiatry And Counseling, PC
363 mi
Psychiatry
4905 PINE CONE DR STE 9
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 47 clinicians in this Medicare group
NPI 1740808096 (910) 323-1545
Medical Director Services PC
468 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, New York enrollment
  • 325 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621
Jds Medical Services PC
561 mi
Emergency Medicine
461 CUMBERLAND ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New York enrollment
  • 106 clinicians in this Medicare group
NPI 1174224653 (718) 534-0689
Koinonia Primary Care Inc
603 mi
Clinic/Center
553 CLINTON AVE
Albany, NY 12206
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1023389533 (518) 689-0282

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 6

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
79 services52 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
55 services42 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
28 services12 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.
22 services22 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
14 services11 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45263 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.

70.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.01
Improvement Activities40

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 Gilmore's NPI number?

The NPI number for Michelle Gilmore is 1477101038. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Michelle Gilmore located?

Michelle Gilmore practices at 4435 Aicholtz Rd Ste 400, Cincinnati, OH 45263. The listed phone number is (513) 947-0400.

What is Michelle Gilmore's specialty?

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

Is Michelle Gilmore enrolled in Medicare?

Yes. Michelle Gilmore 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 organizations bill Medicare for Michelle Gilmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Gilmore reassigns Medicare benefits to 9 organizations: Vpa PC (Cincinnati, OH), Tri-State Hospitalists LLC (Cincinnati, OH), Total Extended Care Services PC (Englewood, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH), Panorama Healthcare LLC (Cleveland, OH) and 4 more organizations, listed in the Medicare section above. Each 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 Gilmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Gilmore accept?

Health plans from CareSource list Michelle Gilmore 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.

When was this NPI record last updated?

The NPPES record for Michelle Gilmore was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.