Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marie Mesmer Micham, CNP

Individual provider Family Nurse Practitioner · NPI 1649853276

Marie Mesmer Micham, CNP is a Nurse Practitioner in Elyria, Ohio. Qualified in 2020, 6 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

303 Chestnut Commons Dr
Elyria, OH 44035-9607
Phone: (440) 366-9444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 W 10th Ave, Columbus, OH 43210-1240 — (614) 293-8000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F03210637 (OH)

Record details

NPI number1649853276
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedMay 2, 2021
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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