MICHELLE EDGMON FNP-BC
NPI 1609147883
Nurse Practitioner - Family in Saint Clairsville, OH

Q: What is Michelle Edgmon's NPI number?

The NPI number for Michelle Edgmon is 1609147883. It was assigned to this individual provider in the NPPES registry on January 20, 2012.

Q: What is Michelle Edgmon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Edgmon was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 20, 2012PECOS EnrolledAccepts Medicare Assignment

51342 NATIONAL RD STE J, SAINT CLAIRSVILLE, OH 43950(740) 232-2180(740) 232-2182 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2022, Apr 2, 2020 (2 updates tracked since 2020).

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About Michelle Edgmon Fnp-bc NPPES

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

MICHELLE EDGMON FNP-BC (NPI 1609147883) is an individual family provider in Saint Clairsville, Ohio, licensed in Ohio (APRN.CNP.025713) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609147883

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELLE EDGMONCredential: FNP-BC

Location Address51342 NATIONAL RD STE JSaint Clairsville, OH 43950-1700

Mailing Address51342 National Rd Ste JSaint Clairsville, OH 43950-1700 · (740) 232-2180 · Fax (740) 232-2182

Phone(740) 232-2180

Fax(740) 232-2182

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJanuary 20, 2012

Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration

NPPES CertifiedDecember 16, 2022

✔ NPI 1609147883 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 · APRN.CNP.025713

51342 NATIONAL RD STE J, Saint Clairsville, OH 43950

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Other Identifiers 2

OtherP01213515Railroad Medicare

Medicaid0094092OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare.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 Edgmon Fnp-bc 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 ID9830335454

PECOS Enrollment IDI20191119002700

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 3

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 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.

70 services42 patients

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.

43 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.

34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360211

Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County

Emergency services Birthing friendly

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361321

Location639 West Main StreetBarnesville, OH 43713 · Belmont County

Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510013

Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County

Emergency services Birthing friendly

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number510023

Location601 Colliers WayWeirton, WV 26062 · Hancock County

Emergency services

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510050

Location1 Medical ParkWheeling, WV 26003 · Ohio County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43950 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.

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 supplier12 claims12 services$83.83 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 2

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

FAMILY FOCUSED HEALTH ASSOCIATES PLLC

Family Medicine

51342 NATIONAL RD STE J
SAINT CLAIRSVILLE, OH 43950

Belmont County (740) 232-2180

DR. RUSSELL S LEE-WOOD M.D.

Family Medicine

51342 NATIONAL RD STE J
SAINT CLAIRSVILLE, OH 43950

Belmont County (740) 695-3000

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 Edgmon's NPI number?

The NPI number for Michelle Edgmon is 1609147883. It was assigned to this individual provider in the NPPES registry on January 20, 2012.

Where is Michelle Edgmon located?

Michelle Edgmon practices at 51342 National Rd Ste J, Saint Clairsville, OH 43950. The listed phone number is (740) 232-2180.

What is Michelle Edgmon's specialty?

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

Is Michelle Edgmon enrolled in Medicare?

Yes. Michelle Edgmon 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 Edgmon accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and Molina Healthcare list Michelle Edgmon 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 Edgmon affiliated with any hospitals?

According to CMS data, Michelle Edgmon is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital, Weirton Medical Center, Inc and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Michelle Edgmon was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.