Individual provider Active NPI

Michelle Ann Archer, PA-C

  • Physician Assistant
  • Durango, CO
National Provider Identifier
1013169457
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.003242 Issued in IL
Practice address
575 Rivergate LN Unit 105
Durango, CO 81301-7490
Phone
(970) 259-3020
NPI assigned
Oct 16, 2008
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.003242 IL Primary
Orthopaedic Surgery Physician 207X00000X PA.0005549 CO

Addresses

Primary practice location

575 Rivergate LN Unit 105
Durango, CO 81301-7490

Mailing address

451 Groves Dr
Durango, CO 81301-6322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190928000172 CO Practitioner - Physician Assistant 9537225222 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Animas Orthopedic Associates and Sports Medicine PCGroup PAC ID 0840355533, 10 clinicians
Animas Surgical Hospital LLCGroup PAC ID 0143295428, 61 clinicians

Practice addresses (Care Compare)

575 Rivergate
Durango, CO 81301-7490
Phone (970) 259-3020

575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537

575 Rivergate LN
Unit 105
Durango, CO 81301-7490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
88.99
Promoting interoperability
100
Improvement activities
40
Cost
64.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.003242ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Animas Surgical Hospital, LLC CurrentSince Nov 1, 2025 Accepting new patients
Embodied Health LLC CurrentSince Jan 14, 2024 Accepting new patients
Durango Surgery Center LLC CurrentSince Nov 1, 2025 Accepting new patients
Animas Surgical Hospital, LLC Physician Assistant Current Accepting new patients

Locations

1266 Escalante Dr
Ste 101
Durango, CO 81303
Phone (248) 396-8109

575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678

575 Rivergate Ln
Unit 105
Durango, CO 81301
Phone (970) 259-3020

6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363

6330 S Western Ave
Ste 150
Sioux Falls, SD 57108

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1013169457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 GROVES DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813016322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RIVERGATE LN UNIT 105",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017490",
            "telephone_number": "970-259-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.003242",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "PA.0005549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.