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MICHAEL J ROUCH NP
NPI 1629559042
Nurse Practitioner - Family in Springfield, OH

Active since August 23, 2018PECOS EnrolledAccepts Medicare Assignment
2105 E HIGH ST, SPRINGFIELD, OH 45505(937) 324-8200 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2019, Aug 23, 2018 (2 updates tracked since 2018).

About Michael J Rouch Np NPPES

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

MICHAEL J ROUCH NP (NPI 1629559042) is an individual family provider in Springfield, Ohio, licensed in Ohio (APRN.CNP.023694) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629559042
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL J ROUCHCredential: NP
Location Address2105 E HIGH STSpringfield, OH 45505-1374
Mailing Address2105 E High StSpringfield, OH 45505-1374 · (937) 324-8200
Phone(937) 324-8200
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 23, 2018
Last NPPES UpdateJanuary 9, 20192 updates tracked since enumeration
✔ NPI 1629559042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.023694
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.392099 (OH)
2105 E HIGH ST, Springfield, OH 45505
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael J Rouch Np 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 ID7214280767
PECOS Enrollment IDI20181030002178
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

2

Medicare enrollment records show Michael Rouch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Springfield Specialty Care LLC
2.1 mi
Surgery
100 MEDICAL CENTER DR
Springfield, OH 45504
  • Reassigned Medicare billing, Ohio enrollment
  • 215 clinicians in this Medicare group
NPI 1790308104 (888) 696-3541
Mercy Health Physicians Springfield Primary Care LLC
13 mi
Family Medicine
900 SCIOTO ST STE 4
Urbana, OH 43078
  • Reassigned Medicare billing, Ohio enrollment
  • 37 clinicians in this Medicare group
NPI 1427679067 (888) 696-3541

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.

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.
106 services59 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.
85 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services17 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.
21 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Ohio Valley Surgical Hospital

Acute Care Hospitals · Springfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360355
Location100 West Main StreetSpringfield, OH 45502 · Clark County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45505 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.

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.

AMANDA BENSMAN
Nurse Practitioner (Family)
2105 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 324-8200
STEPHEN J OEHLERS MD LLC
Specialist
2105 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 342-9930

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 Michael Rouch's NPI number?

The NPI number for Michael Rouch is 1629559042. It was assigned to this individual provider in the NPPES registry on August 23, 2018.

Where is Michael Rouch located?

Michael Rouch practices at 2105 E High St, Springfield, OH 45505. The listed phone number is (937) 324-8200.

What is Michael Rouch's specialty?

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

Is Michael Rouch enrolled in Medicare?

Yes. Michael Rouch 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 Michael Rouch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Rouch reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Springfield Specialty Care LLC (Springfield, OH) and Mercy Health Physicians Springfield Primary Care LLC (Urbana, OH). 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 Michael Rouch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Rouch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list Michael Rouch 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 Michael Rouch affiliated with any hospitals?

According to CMS data, Michael Rouch is affiliated with Springfield Regional Medical Center, Mercy Health - West Hospital and Ohio Valley Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Michael Rouch was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.