Active NPI
Michelle Sullivan Bruzatori, PA-C
- Physician Assistant
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-645
- Practice address
- 9500 Kanis Rd Ste 501
Little Rock, AR 72205-6389 - Phone
- (501) 227-9080
- Fax
- (501) 227-0410
- NPI assigned
- Feb 12, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
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- NPI 1184127052
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- Surgery Physician
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- NPI 1760024459
-
- Family Medicine Physician
- Cabot, AR
- NPI 1881848257
-
- Family Medicine Physician
- Jacksonville, AR
- NPI 1396996740
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Family Medicine Physician
- Cabot, AR
- NPI 1629032289
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Health Group
Practice addresses (Care Compare)
9500 Kanis Rd
Suite 501
Little Rock, AR 72205-6389
Phone (501) 227-9080
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160429000506 | AR | Practitioner - Physician Assistant | 0941509764 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-645 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Current |
Accepting new patients | |
| Arkansas Health Group | Current |
Accepting new patients | |
| Arkansas Central Primary Care, PLLC | Current |
Accepting new patients | |
| Arkansas Health Group | Current |
Accepting new patients | |
| Physicians Network Inc Dba Cabot Medical Clinic | Past | Accepting new patients |
Locations
2037 W Main St
Cabot, AR 72023
Phone (501) 843-4555
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9500 Kanis Rd
Ste 501
Little Rock, AR 72205
Phone (501) 217-2532
3201 Springhill Dr
Ste 130
North Little Rock, AR 72117
Phone (501) 955-2741
Interoperability endpoints
- mbruzatori257916@direct.baptist-healthar.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-645 | AR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
9500 Kanis Rd Ste 501
Little Rock, AR 72205-6389
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 227-9080
Other names 1
NPPES NPI Registry- Michelle Regan Sullivan
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2026.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1306205885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-227-9080",
"fax_number": "501-227-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 KANIS RD STE 501",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056389",
"telephone_number": "501-227-9080",
"fax_number": "501-227-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUZATORI",
"first_name": "MICHELLE",
"middle_name": "SULLIVAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-12",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA-645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "SULLIVAN",
"middle_name": "REGAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.
- 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.