MICHELLE LEE FERTIG (NPI# 1447729249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447729249 |
| Entity Type | Individual |
| Full Name | MICHELLE LEE FERTIG |
| Practice Address |
554 N Leavitt Rd Amherst OH 44001-1131 |
| Mailing Address |
1925 Hayes Ave Sandusky OH 44870-4737 |
| Practice Telephone | 4409843882 |
| Mailing Telephone | 4195575177 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
554 N LEAVITT RD |
| City | AMHERST |
| State | OH |
| Zip Code | 44001-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639135940 | Far West Center | Clinic/Center | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2006-04-25 |
| 1801369137 | Denise Moore | Social Worker | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2019-01-09 |
| 1962971184 | Danae Brynn Wrice | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2018-11-16 |
| 1689143950 | Shannon J. Peyatt-morrow | Marriage & Family Therapist | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2018-11-16 |
| 1558873885 | Samantha Jean Kimbler | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-26 |
| 1467964726 | Cassandra Marie Cataldo | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-26 |
| 1487164612 | Kristine Dence | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-02 |
| 1679083828 | Keily Balduff | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-02 |
| 1497264808 | Gabriela Codispoti | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-09-28 |
| 1689194573 | Constance Chrosniak | Social Worker | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-06-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161337 | Amanda J. Orosz | Homemaker | 420 S. Main St, Amherst, OH 44001 | 2020-10-14 |
| 1760089460 | Michelle Dawn Miller | Homemaker | 9932 Quarry Rd., Amherst, OH 44001 | 2020-10-06 |
| 1245707942 | Kaylie Marie Stamco | Physician Assistant | 609 Eastpointe Ct, Amherst, OH 44001 | 2018-10-31 |
| 1538684758 | Randi Lynn Cecil | Nurse's Aide | 1521 Weaver Dr., Amherst, OH 44001 | 2017-08-09 |
| 1801252663 | Briana Violand | Lactation Consultant, Non-RN | 780 N Woodhill Dr, Amherst, OH 44001 | 2016-01-10 |
| 1225396823 | Christina Ann Zarate Kolp | Family Medicine | 254 Cleveland St, Suite 101, Amherst, OH 44001 | 2012-05-02 |
| 1841590494 | Brenda Kay Keller | Social Worker | 48395 Cooper Foster Park Road, Amherst, OH 44001 | 2010-10-29 |
| 1417289083 | Assisted Living Services. Inc | Assisted Living Facility | 175 North Lake Street, Amherst, OH 44001 | 2010-02-08 |
| 1366697963 | Spectrum of Psychiatric and Psychological Services | Clinic/Center | 556 N. Leavitt Rd., Amherst, OH 44001 | 2008-11-24 |
| 1336397199 | Michael A Musengo | Dentist | 221 Church St., Amherst, OH 44001 | 2008-09-05 |
| Find all providers in zip 44001 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023467271 | Lakisha Jones | Case Manager/Care Coordinator | 117 Montfair Dr, Amherst, VA 24521-2732 | 2016-06-08 |
| 1891108643 | Diana Hernandez | Case Manager/Care Coordinator | 780 Riverglade Dr Apt J, Amherst, MA 01002-3617 | 2014-06-10 |
| 1962971184 | Danae Brynn Wrice | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2018-11-16 |
| 1881179208 | Courtney Anne Reynolds | Case Manager/Care Coordinator | 4242 Ridge Lea Rd, Amherst, NY 14226-1051 | 2018-10-02 |
| 1144738683 | Audra M Donlon | Case Manager/Care Coordinator | 4242 Ridge Lea Rd, Amherst, NY 14226-1051 | 2018-01-18 |
| 1558873885 | Samantha Jean Kimbler | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-26 |
| 1467964726 | Cassandra Marie Cataldo | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-26 |
| 1487164612 | Kristine Dence | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-02 |
| 1679083828 | Keily Balduff | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-10-02 |
| 1497264808 | Gabriela Codispoti | Case Manager/Care Coordinator | 554 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-09-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.