Michael Blythe, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1983 Issued in NV

Practice address

2102 Idaho St
Elko, NV 89801

Phone

(775) 389-5777

Fax

(775) 360-3602

NPI assigned

Nov 6, 2013

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Allied Medical Providers - Pappas PLLCGroup PAC ID 0840720033, 9 clinicians

First Choice Physical TherapyGroup PAC ID 8921384611, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4
• Direct secure messaging: mblythe@direct.nevadahealthcenters.nextgenshare.com
• Direct secure messaging: michael.blythe.p1@direct.elkochc.nextgenshare.com

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.

• First Choice Physical Therapy

  • Physical Therapist
  • Elko, NV
  • NPI 1801336169
  Medicare reassignment Care Compare group NPD
• Community Health Allied Medical Providers - Pappas PLLC

  • Surgery Physician
  • Elko, NV
  • NPI 1316785041
  Medicare reassignment Care Compare group
• Gad 3 LLC

  • Family Medicine Physician
  • Sparks, NV
  • NPI 1538997119
  Medicare reassignment
• Rogers Surgical PLLC

  • Surgery Physician
  • Elko, NV
  • NPI 1104526342
  Medicare reassignment
• Communityhealth Management, LLC

  • Multi-Specialty Clinic/Center
  • Elko, NV
  • NPI 1730925793
  NPD (past)
• First Choice Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Petoskey, MI
  • NPI 1619031010
  NPD (past)
• Tucker Medical Group, P.C.

  • Family Medicine Physician
  • Bountiful, UT
  • NPI 1235439811
  NPD (past)

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

• PHC-Elko Inc

  dba Northeastern Nevada Regional Hospital

  • Rural Acute Care Hospital
  • Elko, NV
  • NPI 1770674350
  Care Compare affiliation

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1013346410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898017913",
            "telephone_number": "775-389-5777",
            "fax_number": "775-360-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 IDAHO ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "89801",
            "telephone_number": "775-389-5777",
            "fax_number": "775-360-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLYTHE",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8797967-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8797967-8906",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia B. Blair, LCSW
• David Wilson Blair, PH.D.
• Mason Blake
• Charloth Vanesa Bledsoe, APRN
• Chelsey Blythe, PA-C
• Demi Lynn Bolley
• Nicolette Diana Bollinger
• Danielle Boltz
• Susana Bond, RPH
• Mavis Bonzumah

• Physician Assistant in Elko, NV
• Providers in Elko, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.