MARIE MESMER MICHAM CNP
NPI 1649853276
Nurse Practitioner - Family in Elyria, OH
About Marie Mesmer Micham Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIE MESMER MICHAM CNP (NPI 1649853276) is an individual family provider in Elyria, Ohio, licensed in Ohio (F03210637) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and maintains a secondary practice location in Columbus.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Marie Mesmer Micham 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.
Medicare Billing Reassignments
2Medicare enrollment records show Marie Micham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Avon, OH 44011
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fairview Hospital
Acute Care Hospitals · Cleveland, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHCleveland Clinic Avon Hospital
Acute Care Hospitals · Avon, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELYRIA, OH 44035
ELYRIA, OH 44035
ELYRIA, OH 44035
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 Marie Micham's NPI number?
The NPI number for Marie Micham is 1649853276. It was assigned to this individual provider in the NPPES registry on May 2, 2021.
Where is Marie Micham located?
Marie Micham practices at 303 Chestnut Commons Dr, Elyria, OH 44035. The listed phone number is (440) 366-9444.
What is Marie Micham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marie Micham enrolled in Medicare?
Yes. Marie Micham 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 Marie Micham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marie Micham reassigns Medicare benefits to 2 organizations: The Cleveland Clinic Foundation (Avon, OH) and Ohiohealth Corporation (Columbus, 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 Marie Micham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marie Micham accept?
Health plans from Anthem Blue Cross and Blue Shield list Marie Micham 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 Marie Micham affiliated with any hospitals?
According to CMS data, Marie Micham is affiliated with Fairview Hospital, Cleveland Clinic and Cleveland Clinic Avon Hospital.
When was this NPI record last updated?
The NPPES record for Marie Micham was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marie Mesmer Micham, CNP · NPI 1649853276
Family physician in Elyria, Ohio. Individual provider, active in the CMS NPPES registry since May 2, 2021.
## Identity
- **NPI:** 1649853276 (Entity type: Individual)
- **Enumerated:** May 2, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F03210637 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 303 CHESTNUT COMMONS DR, Elyria, OH 44035-9607
- **Phone:** (440) 366-9444
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Cleveland Clinic Foundation (NPI 1184428336, Avon, OH); Ohiohealth Corporation (NPI 1265627301, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649853276) · Data from the CMS NPPES public registry.