Michelle Renee Daniels, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0004212 Issued in MD

Practice address

4660 Wilkens Ave Ste 302
Baltimore, MD 21229-4845

Phone

(443) 693-7246

NPI assigned

Nov 18, 2010

Last updated

Apr 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Pain Management Specialists LLCGroup PAC ID 3173513959, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.brown.1@11679.direct.athenahealth.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.

• Advanced Pain Management Specialists, LLC

  dba Clearway Pain Solutions

  • Interventional Pain Medicine Physician
  • Annapolis, MD
  • NPI 1861418220

  DC

  Medicare reassignment Care Compare group NPD
• Advanced Pain Management Specialists, LLC

  dba Clearway Pain Solutions

  • Durable Medical Equipment & Medical Supplies
  • Silver Spring, MD
  • NPI 1376355438
  NPD
• Advanced Pain Management Specialists, LLC

  dba Clearway Pain Solutions

  • Clinical Medical Laboratory
  • Owings Mills, MD
  • NPI 1316315740
  NPD (past)
• Chesapeake Orthopaedic and Sports Medicine Center PA

  • Orthopaedic Surgery Physician
  • Glen Burnie, MD
  • NPI 1407920143
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1063714475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARK CENTER CT",
            "address_2": "SUITE 200",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174295",
            "telephone_number": "443-693-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 WILKENS AVE STE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294845",
            "telephone_number": "443-693-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3416 Olandwood Ct Ste 204",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321373",
            "country_code": "US",
            "telephone_number": "443-693-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961012000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John F Thomas Daniels II, D.D.S.
• Joy Daniels
• Lakeyia Shana Daniels, PMHNP
• Lindsey Samantha Daniels, PSY.D.
• Michelle Daniels
• Sharea Daniels
• Yvette Denise Daniels, RN
• Ziyona Daniels
• Samantha Leanne Danielson
• Joanna L. Danilov, CRNP

• Medical Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.