MALLORY MICHELLE MICHNA (NP-C) – Family Nurse Practitioner, NPI 1003281858
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MALLORY MICHELLE MICHNA (NP-C)
2620 ELM HILL PIKE
NASHVILLE, TN 372143108
Phone: (615) 425-4200
Type: Mailing
1425 COLUMBUS AVE
LEBANON, OH 450368258
Phone: (513) 282-3010
Type: Location
2960 FERNDOWN DR
MIAMISBURG, OH 453423585
Phone: (937) 886-5510
Fax: (937) 813-2637
Type: Mailing
1425 Columbus Ave
Lebanon, OH 450368258
Phone: (513) 282-3010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 240 Open Payments records for all available years, with a total value of $4,205.
Total Amount is formed as General ($4,205) + Research ($0) + Ownership ($0) = $4,205.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,299).
Total Amount
$4,205
General + Research + Ownership
Payments
240
Total payment records
General Amount
$4,205
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,299 |
| Amgen Inc. | $681 |
| Janssen Biotech, Inc. | $496 |
| UCB, Inc. | $358 |
| AstraZeneca Pharmaceuticals LP | $218 |
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: 2015-12-16
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 |
|---|---|---|---|---|
| I20151216000562 | 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 37214)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OH | 81002 | Urinalysis, manual test | 13 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Rheumatology, Internal Medicine | OH | |
| Rheumatology, Internal Medicine | OH |
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