NPIMap

Individual provider Active NPI

Michelle Calpe Thomas, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1235562083
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6449 Issued in AZ
Practice address
1555 E River Rd
Tucson, AZ 85718-5831
Phone
(520) 661-2787
NPI assigned
Aug 15, 2013
Last updated
Sep 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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 6449 AZ Primary
Acupuncturist 171100000X 0538 AZ

Addresses

Primary practice location

1555 E River Rd
Tucson, AZ 85718-5831

Mailing address

1555 E River Rd
Tucson, AZ 85718-5831
Phone (520) 321-9850

Other names 1

  • Michelle Calpe Larson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160927002363 AZ Practitioner - Physician Assistant 2769779255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
54.73 of 100Reported as group
Quality
55.28
Promoting interoperability
0
Improvement activities
40
Cost
77.16

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0538AZMDAcupuncturist
6449AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Feb 1, 2024 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Mar 1, 2020 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Mar 1, 2020 Accepting new patients
Banner-University Medical Group Past Accepting new patients
Valley ENT, PC Past Accepting new patients
University Orthopedic Specialists, PLLC PastSince Jan 1, 1999 Accepting new patients

Locations

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

2800 E Ajo Way
Bldg 200
Tucson, AZ 85713
Phone (520) 874-2000

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Interoperability endpoints

  • Direct secure messaging: michelle.thomas.1@17260.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1235562083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185831",
            "telephone_number": "520-321-9850",
            "fax_number": "520-321-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185831",
            "telephone_number": "520-661-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICHELLE",
        "middle_name": "CALPE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6449",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "0538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LARSON",
            "middle_name": "CALPE",
            "credential": "LAC, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.