NPIMap

Individual provider Active NPI

Michelle Cavanaugh

  • Family Medicine Physician
  • South Williamsport, PA
National Provider Identifier
1023082351
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD069473L Issued in PA
Practice address
145 Shaffer St
South Williamsport, PA 17702-6727
Phone
(570) 326-2447
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD069473L PA Primary

Addresses

Primary practice location

145 Shaffer St
South Williamsport, PA 17702-6727

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.l.cavanaugh@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000831 PA Practitioner - Family Practice 6103011176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Extension Services LLCGroup PAC ID 6406131622, shared by 5 NPIs, 161 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, shared by 32 NPIs, 611 clinicians

Practice addresses (Care Compare)

1948 E 3Rd St
Suite C
Williamsport, PA 17701-3945
Phone (570) 327-1760

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

900 Plaza Dr
Montoursville, PA 17754-2448
Phone (570) 368-3321

Hospital & facility affiliations

  • Residential Home Health of NC PA, LLC Home health agency, Lewisburg, PA, CCN 398144
  • Upmc Home Healthcare Home health agency, Williamsport, PA, CCN 397006
  • Family Hospice Hospice, Williamsport, PA, CCN 391513
  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • Upmc Muncy Hospital, Muncy, PA, CCN 391301
  • Upmc Wellsboro Hospital, Wellsboro, PA, CCN 391316
  • Geisinger Jersey Shore Hospital Hospital, Jersey Shore, PA, CCN 391300
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006

Merit-based Incentive Payment System (MIPS)

Final score
81.06 of 100Reported as group
Quality
62.07
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services Family Medicine CurrentSince Sep 3, 2014 Accepting new patients
Susquehanna Physician Services Family Medicine CurrentSince Jun 2, 2025 Accepting new patients
Susquehanna Physician Services CurrentSince Sep 3, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Guthrie Medical Group, P.C. Family Medicine Past Accepting new patients

Locations

900 Plaza Dr
Montoursville, PA 17754
Phone (570) 321-2545

10 Shady Ln
Ste 101
Muncy, PA 17756
Phone (570) 546-4059

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

145 Shaffer St
Williamsport, PA 17702
Phone (570) 326-2447

175 Pine St
Ste 200
Williamsport, PA 17701
Phone (570) 326-2447

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Interoperability endpoints

  • Direct secure messaging: mcavanaugh56008@upmc.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1023082351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SHAFFER ST",
            "city": "SOUTH WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177026727",
            "telephone_number": "570-326-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD069473L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.l.cavanaugh@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Williamsport, PA

Sources for this page

Verify at the official NPI Registry.