MICHELLE LEA ANTANOVICH (CRNP PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1487756458
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHELLE LEA ANTANOVICH (CRNP PMHNP)
461 RIDGEWOOD DR
FREDERICKTOWN, PA 153332027
Phone: (724) 986-8938
Type: Mailing
104 W 40th St Rm 500
New York, NY 100183770
Phone: (212) 369-6757
Fax: (212) 369-3941
Type: Location
111 ROBERTS RD STE 150
GRINDSTONE, PA 154422104
Phone: (724) 884-5026
Fax: (724) 364-7117
Type: Location
State Route 1025, Finleyville, Broad Top Township, Bedford County, Pennsylvania, 16679, United States
HEALTHY DIRECTIONS MVH PRIMARY CARE, INC.
FINLEYVILLE, PA 15332
Phone: (724) 348-6699
Fax: (724) 348-8640
Type: Location
1485 WASSAIL LN
PUNTA GORDA, FL 339836028
Phone: (941) 286-5033
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-04-19
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 |
|---|---|---|---|---|
| I20230419000333 | I | Nurse Practitioner | MD | 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 15333)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | PA | |
| P S Y C H I A T R Y | PA | |
| Mental Health Counselor | PA | |
| Mental Health Counselor | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| P S Y C H I A T R Y | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | WV |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.