MRS. MICHELE LYNN POULOS (RN, MSN, ANP-C) – Adult Health Nurse Practitioner, NPI 1053484287
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
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Provider Addresses for MRS. MICHELE LYNN POULOS (RN, MSN, ANP-C)
PO BOX 378
SANDUSKY, OH 448710378
Phone: (419) 609-1112
Fax: (419) 609-1123
Type: Mailing
NOMS Healthcare Sandusky, West Strub Road, Perkins Township, Erie County, Ohio, 44870, United States
SUITE 230
SANDUSKY, OH 448705390
Phone: (419) 626-6891
Fax: (419) 626-8009
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 184 Open Payments records for all available years, with a total value of $3,124.
Total Amount is formed as General ($3,124) + Research ($0) + Ownership ($0) = $3,124.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($663).
Total Amount
$3,124
General + Research + Ownership
Payments
184
Total payment records
General Amount
$3,124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $663 |
| AstraZeneca Pharmaceuticals LP | $545 |
| Novo Nordisk Inc | $406 |
| Amgen Inc. | $139 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $136 |
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: 2010-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100129000464 | I | Nurse Practitioner | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 187 | 168 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 131 | 131 | $0 |
| G0008 | Administration of influenza virus vaccine | 23 | 23 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 22 | 22 | $0 |
| 99497 | Advance care planning, first 30 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 44871)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| - | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physical Therapist In Private Practice | OH | |
| D E R M A T O L O G Y | OH | |
| - | OH | |
| P O D I A T R Y | OH | |
| - | OH | |
| Sports Medicine | OH |
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