Individual provider Active NPI

Michelle Joy Soliven Rabara, PA-C

  • Physician Assistant
  • Sierra Vista, AZ
National Provider Identifier
1043892250
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8456 Issued in AZ
Practice address
286 S Lenzner Ave
Sierra Vista, AZ 85635-5685
Phone
(520) 452-0388
Fax
(877) 281-8622
NPI assigned
Apr 27, 2021
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8456 AZ Primary

Addresses

Primary practice location

286 S Lenzner Ave
Sierra Vista, AZ 85635-5685

Mailing address

286 S Lenzner Ave
Sierra Vista, AZ 85635-5685
Phone (520) 452-0388

Other practice location 1

1620 E Wilcox Dr
Sierra Vista, AZ 85635-2778
Phone (520) 459-0362

Other practice location 2

337 E Coronado Rd Ste 201
Phoenix, AZ 85004-1583
Phone (480) 712-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230302000239 AZ Practitioner - Physician Assistant 3870966492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

1620 E Wilcox Dr
Sierra Vista, AZ 85635-2778
Phone (520) 459-0362

286 S Lenzner Ave
Suite a
Sierra Vista, AZ 85635-5685
Phone (520) 452-0388

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8456AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sundance Medical Associates PLLC Past Accepting new patients

Organizations & group practices 2

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1043892250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355685",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355685",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 E Wilcox Dr",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352778",
            "country_code": "US",
            "telephone_number": "520-459-0362",
            "fax_number": "520-458-1585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 E Coronado Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850041583",
            "country_code": "US",
            "telephone_number": "480-712-4600",
            "fax_number": "602-428-7045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABARA",
        "first_name": "MICHELLE JOY",
        "middle_name": "SOLIVEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.