Individual provider Active NPI

Michele Owaski, PA-C

  • Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1104277797
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109025 Issued in FL
Practice address
11030 Rca Center Dr
Suite 3015
Palm Beach Gardens, FL 33410-4276
Phone
(561) 776-7041
NPI assigned
Jun 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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 PA9109025 FL Primary

Addresses

Primary practice location

11030 Rca Center Dr
Suite 3015
Palm Beach Gardens, FL 33410-4276

Mailing address

11030 Rca Center Dr
Suite 3015
Palm Beach Gardens, FL 33410-4276
Phone (561) 776-7041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170502002646 FL Practitioner - Physician Assistant 7517244437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
87.73
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Gardens Regional Surgery Center LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1104277797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 RCA CENTER DR",
            "address_2": "SUITE 3015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104276",
            "telephone_number": "561-776-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 RCA CENTER DR",
            "address_2": "SUITE 3015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104276",
            "telephone_number": "561-776-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWASKI",
        "first_name": "MICHELE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-25",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.