Individual provider Active NPI

Michelle L Dorsey, PA-C

  • Medical Physician Assistant
  • Geneva, NE
National Provider Identifier
1013241454
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1725 Issued in NE
Practice address
1840 F St
Geneva, NE 68361-2211
Phone
(402) 759-4485
Fax
(402) 759-4487
NPI assigned
Oct 1, 2009
Last updated
May 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA054128 PA
Medical Physician Assistant 363AM0700X 1725 NE Primary

Addresses

Primary practice location

1840 F St
Geneva, NE 68361-2211

Mailing address

1840 F St
Geneva, NE 68361-2211
Phone (402) 759-4485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20130328000339 NE Practitioner - Physician Assistant 4587705975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fillmore County Medical Center PCGroup PAC ID 4688638471, 7 clinicians

Practice addresses (Care Compare)

1840 F St
Geneva, NE 68361-2211

1840 F St PO Box
Geneva, NE 68361-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1725NEMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fillmore County Hospital Past Accepting new patients
Lansdale Hospital Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.dorsey.1@26385.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1013241454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612211",
            "telephone_number": "402-759-4485",
            "fax_number": "402-759-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612211",
            "telephone_number": "402-759-4485",
            "fax_number": "402-759-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054128",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NE

Sources for this page

Verify at the official NPI Registry.