Michelle Lynn Ross, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1584 Issued in TN

Practice address

650 Joel Dr
Fort Campbell, KY 42223-8355

Phone

(270) 798-8400

NPI assigned

Mar 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Pazona MD, PLLC

  • Urology Physician
  • Nashville, TN
  • NPI 1508481284
  Medicare reassignment
• Pennyrile Urology PSC

  • Urology Physician
  • Hopkinsville, KY
  • NPI 1992729529
  NPD (past)
• Charles a. Walker Dba Walker Pain Management Centers

  • Specialist
  • Paris, TN
  • NPI 1184007742
  NPD (past)

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1114198702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422238355",
            "telephone_number": "270-798-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422238355",
            "telephone_number": "270-798-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 High St Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422406300",
            "country_code": "US",
            "telephone_number": "270-886-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424278",
            "country_code": "US",
            "telephone_number": "731-644-0144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Wood St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424278",
            "country_code": "US",
            "telephone_number": "731-644-0144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 W 17th St",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401911",
            "country_code": "US",
            "telephone_number": "270-886-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1724 Kenton St Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401981",
            "country_code": "US",
            "telephone_number": "270-886-5141",
            "fax_number": "270-885-1877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 W 17th St",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401911",
            "country_code": "US",
            "telephone_number": "270-886-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "TC683",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1584",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA2332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100523490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roman Rogozin, PA
• Kimberly Root, LMSW
• Yamille Priscila Roper, RN
• Emily Ropiak
• Michelle Yvonne Rorie, M.D.
• Victoria Maria Rottler, OD
• Kristy A Roux, PA-C
• Calvin Albert Rowe III, PA-C
• Sharleen Marie Rupp, AU.D.
• Dennis Allen Russell

• Physician Assistant in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.