Michelle Cefal, PA-C

Individual provider Active NPI Physician Assistant · Louisville, TN

NPI 1235063124 · NPPES record last updated Jun 9, 2026

Key facts

NPI
1235063124
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
7020 (TN)
Practice address
622 Crassula Way
Louisville, TN 37777-3017
Phone
(503) 887-0126
NPI assigned
Jun 9, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7020 TN Yes

Addresses

Primary practice location

622 Crassula Way
Louisville, TN 37777-3017

Mailing address

622 Crassula Way
Louisville, TN 37777-3017

Other providers in Louisville, TN

All providers in Louisville, TN · Physician Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.