Active NPI
Michelle Gormas, PA
- Medical Physician Assistant
- Okemos, MI
National Provider Identifier
1144479148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601005380
- Practice address
- 2422 Jolly Rd Ste 100
Okemos, MI 48864-3690 - Phone
- (517) 618-9507
- NPI assigned
- Sep 15, 2008
- Last updated
- Sep 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601005380 | MI | Primary |
Addresses
Primary practice location
2422 Jolly Rd Ste 100
Okemos, MI 48864-3690
Mailing address
2422 Jolly Rd Ste 100
Okemos, MI 48864-3690
Phone (517) 618-9507
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5331355 | Other | MI | BCBS |
| 200000055800 | Other | MI | PHP |
| 1144497148 | Medicaid | MI | |
| C36084082 | Other | MI | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | connect@avehealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2422 Jolly Rd
Suite 100
Okemos, MI 48864-3690
Phone (517) 618-9507
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601005380 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lansing Urgent Care, PLC | Past | Accepting new patients |
Interoperability endpoints
- michelle.gormas.1@23031.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1780629832
-
- Urgent Care Clinic/Center
- Lansing, MI
- NPI 1780987990
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1144479148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 JOLLY RD STE 100",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643690",
"telephone_number": "517-618-9507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2422 JOLLY RD STE 100",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643690",
"telephone_number": "517-618-9507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAS",
"first_name": "MICHELLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601005380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5331355",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "200000055800",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144497148",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "C36084082",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "connect@avehealth.org",
"affiliation": "N",
"endpointDescription": "secured email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "2422 Jolly Rd Ste 100",
"city": "Okemos",
"state": "MI",
"country_code": "US",
"postal_code": "488643690",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.