LORA ANN DIMICHELE (AGNP-C) – Gerontology Nurse Practitioner, NPI 1457124265
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for LORA ANN DIMICHELE (AGNP-C)
4199 Millpond Dr
Beachwood, OH 441225731
Phone: (216) 206-8853
Type: Location
1835 Belmore Rd
Cleveland, OH 441124301
Phone: (216) 268-3600
Type: Location
6505 Market St Bldg D
Boardman, OH 445123459
Phone: (330) 884-2300
Type: Location
1985 E Pershing St
Salem, OH 444603411
Phone: (330) 332-1588
Type: Location
37900 Chester Rd
Avon, OH 440111044
Phone: (440) 695-7101
Type: Location
7148 West Blvd
Youngstown, OH 445124336
Phone: (000) 000-0000
Type: Location
11100 Euclid Ave
Cleveland, OH 441061716
Phone:
Type: Location
29001 Cedar Rd Ste 103
Lyndhurst, OH 441244041
Phone: (440) 566-0170
Type: Location
3 Merit Dr
Cleveland, OH 441431457
Phone: (000) 000-0000
Type: Location
PO BOX 660
MENTOR, OH 440610660
Phone: (440) 516-3776
Fax: (440) 516-3783
Type: Mailing
23333 HARVARD RD
BEACHWOOD, OH 441226232
Phone: (000) 000-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-01-13
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 |
|---|---|---|---|---|
| I20240113000492 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44122)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Nephrology | OH |
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