Individual provider Active NPI

Michaela Nicole Lablanc, PA-C

  • Surgical Physician Assistant
  • Albany, NY
National Provider Identifier
1174282677
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
027759 Issued in NY
Practice address
1367 Washington Ave
Albany, NY 12206-1069
Phone
(518) 489-2666
NPI assigned
Dec 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X 027759 NY Primary

Addresses

Primary practice location

1367 Washington Ave
Albany, NY 12206-1069

Mailing address

46 Emerson Ave
Pittsfield, MA 01201-7340
Phone (413) 441-9282

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mlablanc@caportho.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20240219003297 MT Practitioner - Physician Assistant 2860886744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

1450 Ellis St
Suite 201
Bozeman, MT 59715-8813
Phone (406) 587-0122

Hospital & facility affiliations

  • Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Madison Valley Medical Center Hospital, Ennis, MT, CCN 271329

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
56.02
Promoting interoperability
100
Improvement activities
40
Cost
85.34

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
60.05
Promoting interoperability
100
Improvement activities
40
Cost
76.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

3406 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694

Interoperability endpoints

  • Direct secure messaging: mlablanc1676592@direct.trinity-health.org
  • Direct secure messaging: mlablanc19494@albanymed.direct-ci.com
  • Direct secure messaging: michaela.lablanc.1@28317.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michaela.lablanc.1@12906.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1174282677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 EMERSON AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012017340",
            "telephone_number": "413-441-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061069",
            "telephone_number": "518-489-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABLANC",
        "first_name": "MICHAELA",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2021-12-12",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "027759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mlablanc@caportho.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1367 Washington Ave",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122061069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.