MICHELE D MASSOW (FNP) – Family Nurse Practitioner, NPI 1962629683

MICHELE D MASSOW (FNP) is a healthcare provider. based in Merrillville, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 71002178A (IN). The NPI Number for MICHELE D MASSOW (FNP) is 1962629683

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MICHELE D MASSOW (FNP)
NPI
1962629683
Phone
(219) 738-2617
Address
99 E 86TH AVE
Enumeration Date
20 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2197382617
Graduation Year
2006 (20 years ago)
PAC ID
9537343447
Group Practice PAC ID
6608812003
Professional Enrollment ID
I20110418000219
Address ID
IN464106267ME99XXXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MICHELE D MASSOW (FNP)

  • 99 E 86TH AVE

    SUITE A

    MERRILLVILLE, IN 464106381

    Phone: (219) 738-2617

    Fax: (219) 738-2145

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $1,103.

Total Amount is formed as General ($1,103) + Research ($0) + Ownership ($0) = $1,103.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Smith+Nephew, Inc. ($262).

Total Amount

$1,103

General + Research + Ownership

Payments

34

Total payment records

General Amount

$1,103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110418000219INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 46410)

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Provider's Procedures

MICHELE D MASSOW (FNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIN95004Injection of allergenic extracts into skin, accessed through the skin91219

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608812003View full group profile
NameSpecialtyState
Qualified AudiologistIN
O T O L A R Y N G O L O G YIN
Qualified AudiologistIN
O T O L A R Y N G O L O G YIN
O T O L A R Y N G O L O G YIN

Reviews

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Frequently asked questions

Does MICHELE D MASSOW (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHELE D MASSOW (FNP) uses 1962629683.
Does the file indicate MICHELE D MASSOW (FNP) is practicing under active NPI?
Directory data currently reports MICHELE D MASSOW (FNP) as active.
What is MICHELE D MASSOW (FNP) best known for clinically?
Directory data describes MICHELE D MASSOW (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MICHELE D MASSOW (FNP) based?
MICHELE D MASSOW (FNP) is tied to Merrillville, Indiana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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