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MICHELLE ROUDEBUSH MASSAGE THERAPIST
NPI 1720550619
Massage Therapist in Marion, IN

Active since December 18, 2018PECOS Enrolled
518 S BALDWIN AVE, MARION, IN 46953(260) 377-9519 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Roudebush Massage Therapist NPPES

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

MICHELLE ROUDEBUSH MASSAGE THERAPIST (NPI 1720550619) is an individual massage therapist in Marion, Indiana, licensed in Indiana (21505618) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720550619
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMICHELLE ROUDEBUSHCredential: MASSAGE THERAPIST
Location Address518 S BALDWIN AVEMarion, IN 46953-1373
Mailing Address111 E Grant StLa Fontaine, IN 46940-9238 · (260) 377-9519
Phone(260) 377-9519
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 18, 2018
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1720550619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in IN · 21505618
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
518 S BALDWIN AVE, Marion, IN 46953
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Roudebush Massage Therapist is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507335957
PECOS Enrollment IDI20260515000390
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.

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.

HEART AND SOUL THERAPEUTIC MASSAGE
Massage Therapist
518 S BALDWIN AVE
MARION, IN 46953
Grant County (765) 662-8222
KELSEY LYNN LIPPENS LMT
Massage Therapist
518 S BALDWIN AVE
MARION, IN 46953
Grant County (765) 662-8222

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 Roudebush's NPI number?

The NPI number for Michelle Roudebush is 1720550619. It was assigned to this individual provider in the NPPES registry on December 18, 2018.

Where is Michelle Roudebush located?

Michelle Roudebush practices at 518 S Baldwin Ave, Marion, IN 46953. The listed phone number is (260) 377-9519.

What is Michelle Roudebush's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Is Michelle Roudebush enrolled in Medicare?

Yes. Michelle Roudebush is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Roudebush was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.