Active NPI 1356709604 Individual Practitioner Female Practitioner

Michelle Hart

Nurse Practitioner • Marion, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michelle Hart is a certified Nurse Practitioner practicing in Marion, IN. With approximately 11 years of clinical experience since graduating from Indiana University School Of Medicine in 2015, Michelle Hart delivers high-quality medical care to the local community at 1399 N BALDWIN AVENUE.

Michelle Hart is affiliated with Marion General Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, transitional care management services for problem of at least moderate complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1399 N Baldwin Avenue

Marion, IN 469522561

Telephone 7656607550

Fax 7656624467

Associated Practice Facility / Clinic

🏢 Marion General Hospital Facility NPI 1528099041

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Marion, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -1.1 yrs vs City Avg

City Avg: 12.1 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Marion, IN (2620 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hart (11 Years) 11 Yrs

Marion Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	33	$159.51	$98.37
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$120.23	$71.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	11	$162.00	$97.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	91	$162.00	$101.79
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$120.00	$72.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	189	$144.14	$102.92
99213 Established patient office or other outpatient visit, typically 15 minutes	88	78	$101.98	$73.30
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	23	23	$90.00	$51.31
99495 Transitional care management services for problem of at least moderate complexity	16	16	$388.00	$159.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	12	$75.00	$11.38
81002 Urinalysis, manual test	11	11	$7.00	$3.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	219	$120.00	$87.92
99213 Established patient office or other outpatient visit, typically 15 minutes	73	65	$81.00	$60.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	18	$54.50	$11.16
99496 Transitional care management services for problem of high complexity	18	18	$266.00	$198.73
G0008 Administration of influenza virus vaccine	18	18	$34.00	$15.85
81002 Urinalysis, manual test	15	15	$7.00	$3.47
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	14	14	$90.00	$51.31
90682 Influenza vaccine, quadrivalent derived from recombinant dna	14	14	$67.36	$60.55
99495 Transitional care management services for problem of at least moderate complexity	12	12	$338.25	$151.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	327	270	$120.00	$87.16
99213 Established patient office or other outpatient visit, typically 15 minutes	68	53	$81.00	$59.21
99496 Transitional care management services for problem of high complexity	30	28	$266.00	$187.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	23	$34.00	$13.47
81002 Urinalysis, manual test	26	25	$7.00	$3.41
99495 Transitional care management services for problem of at least moderate complexity	20	18	$189.00	$132.98
G0008 Administration of influenza virus vaccine	20	20	$34.00	$15.55
90682 Influenza vaccine, quadrivalent derived from recombinant dna	12	12	$59.00	$54.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	312	$120.00	$85.63
99213 Established patient office or other outpatient visit, typically 15 minutes	51	41	$81.00	$58.28
81002 Urinalysis, manual test	30	28	$6.30	$3.41
G0008 Administration of influenza virus vaccine	24	24	$34.00	$19.10
90662 Influenza vaccine split virus, preservative free	17	17	$59.00	$49.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	378	327	$120.00	$84.76
99213 Established patient office or other outpatient visit, typically 15 minutes	104	92	$81.00	$58.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	31	$34.00	$20.21
G0008 Administration of influenza virus vaccine	33	33	$34.00	$23.63
36415 Insertion of needle into vein for collection of blood sample	31	24	$5.00	$2.94
90662 Influenza vaccine split virus, preservative free	31	31	$57.00	$46.50
81002 Urinalysis, manual test	30	25	$7.90	$3.43
99495 Transitional care management services for problem of at least moderate complexity	14	13	$188.36	$130.73

Medical Specialties & State Licenses

CMS Verified: 2020-10-19

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71006107A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IN 71006107A

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201348890 (IN)

Commercial Insurance / Payer ID Anthem

000000996990 (IN)

Hospital & Practice Group Affiliations

Marion General Hospital

1136 N Baldwin Ave, Marion, IN 469522536

Phone: 7656607440

Marion General Hospital

1130 N Baldwin Ave, Marion, IN 469522536

Phone: 7656607480

Marion General Hospital

4781 Kaybee Dr, Gas City, IN 469336607

Phone: 7656607840

Secondary Practice Locations

330 N Wabash Ave Ste 470

Marion, IN 469522685

Phone: 7656607550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Christina Ciepiel

Social Worker - Clinical

NPI 1326975566

Dr. Kavita Raj , DO

Family Medicine

NPI 1669456059

Doctor of Osteopathic Medicine (D.O.)

Kimberly Lovelady , FNP

Nurse Practitioner - Family

NPI 1912333279

Family Nurse Practitioner

Teresa Sutton , NP

Nurse Practitioner - Family

NPI 1952817397

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 10, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 10, 2016

Registered at 1399 N BALDWIN AVENUE, MARION, IN 469522561 (Tel: 7656607550)

📍

Updated Business Mailing Address March 10, 2016

Registered at 330 N WABASH AVENUE, STE G20, MARION, IN 469522600 (Tel: 7656607616)

👤

Provider Name / Credentials Updated March 10, 2016

Recorded as MICHELLE HART

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2016

Nurse Practitioner (License #71006107A in IN)

🟢

Initial NPI Registration & Enumeration February 02, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356709604

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 02, 2016

Last Update: October 20, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

330 N Wabash Avenue, Ste G20

Marion, IN 469522600

Phone: 7656607616

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.