Michelle Leigh Hoopes, PHYSICIAN ASSISTANT
Individual provider Active NPI Physician Assistant · Fortuna, CA
NPI 1104173418 · NPPES record last updated Nov 3, 2021
Key facts
- NPI
- 1104173418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 22441 (CA)
- Practice address
- 3304 Renner Dr Suite B
Fortuna, CA 95540 - Phone
- (707) 725-9832
- Fax
- (707) 725-7247
- NPI assigned
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Medical Foundation
Practice addresses (Care Compare)
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210
200 W Ctr St Promenade
Anaheim, CA 92805-3960
2321 Harrison Ave
Suite S
Eureka, CA 95501-3216
Phone (707) 445-3674
2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121
2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060
3300 Renner Dr
Fortuna, CA 95540-3120
Phone (707) 725-3361
3304 Renner Dr
Fortuna, CA 95540-7102
Phone (714) 449-4800
500 Doyle Park Dr
Santa Rosa, CA 95405-4559
Hospital & facility affiliations
- Providence St Joseph Hospital
- Providence Redwood Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130626000666 | CA | Practitioner - Physician Assistant | 8921247743 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current |
Accepting new patients | |
| Providence Medical Foundation | Current |
Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
2321 Harrison Ave
Ste S
Eureka, CA 95501
Phone (707) 443-2248
3307 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6108
3304 Renner Dr
Ste B
Fortuna, CA 95540
Phone (707) 725-9832
3304 Renner Dr
Fortuna, CA 95540
Phone (707) 725-4477
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 22441 | CA | Yes |
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
3304 Renner Dr Suite B
Fortuna, CA 95540
Mailing address
3304 Renner Dr Suite B
Fortuna, CA 95540
Phone (707) 725-9832
Other names
- Ms. Michelle Pollitt
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhoopes1648019@oc.providencedirect.org |
Other providers in Fortuna, CA
- Helpers Touch
- Julia Hemenway
- Maria Del Mar Herndon
- Daniel Alan Heyn
- Chance Holcomb
- Joshua Huls
- Humboldt County Behavioral Health
- Humboldt Neurohealth Therapeutic Services
- Humboldt Neurohealth Therapeutic Services
- Humboldt Radiology Medical Group Inc
All providers in Fortuna, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.