MICHELLE TEGENKAMP (RN, CPNP-PC) – Pediatric Nurse Practitioner, NPI 1396730073
Pediatric Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MICHELLE TEGENKAMP (RN, CPNP-PC)
830, West High Street, Lima, Allen County, Ohio, 45801, United States
SUITE 102
LIMA, OH 458013971
Phone: (419) 222-4045
Fax: (419) 228-5665
Type: Mailing
5665 Venture Dr
Dublin, OH 430172159
Phone: (614) 722-2000
Fax: (614) 722-3369
Type: Location
740 Adair Ave
Zanesville, OH 437012838
Phone: (614) 722-2000
Fax: (614) 722-3369
Type: Location
4439 State Route 159
Chillicothe, OH 456018207
Phone: (614) 722-2000
Fax: (614) 722-3369
Type: Location
536 S Trimble Rd
Mansfield, OH 449063418
Phone: (614) 722-2000
Fax: (614) 722-3369
Type: Location
7901 Diley Rd
Canal Winchester, OH 431109612
Phone: (614) 722-6200
Fax: (614) 722-4440
Type: Location
380 Butterfly Gardens Dr
Columbus, OH 432157508
Phone: (614) 722-6200
Fax: (614) 722-4440
Type: Location
6435 E Broad St
Columbus, OH 432131507
Phone: (614) 722-2000
Fax: (614) 722-3369
Type: Location
55 Dillmont Dr
Columbus, OH 432356458
Phone: (614) 722-6200
Fax: (614) 722-4440
Type: Location
433 N Cleveland Ave
Westerville, OH 430828095
Phone: (614) 722-6200
Fax: (614) 722-4440
Type: Location
7853 Pacer Dr
Delaware, OH 430157571
Phone: (614) 722-2000
Fax: (614) 722-3369
Type: Location
700 CHILDRENS DR
COLUMBUS, OH 432052664
Phone: (614) 722-2000
Type: Mailing
1001 BELLEFONTAINE AVE
LIMA, OH 458042800
Phone: (419) 998-4575
Fax: (419) 998-4586
Type: Mailing
1005 BELLEFONTAINE AVE STE 245
LIMA, OH 458042884
Phone: (419) 998-8230
Fax: (419) 998-8231
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $174.
Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($46).
Total Amount
$174
General + Research + Ownership
Payments
9
Total payment records
General Amount
$174
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-05-27
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 |
|---|---|---|---|---|
| I20200527001996 | 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 45801)
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