NPIMap

Individual provider Active NPI

Jacquelyn Michalski, PA-C

  • Otolaryngology Physician
  • Bethlehem, PA
National Provider Identifier
1336876077
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MA063490 Issued in PA
Practice address
3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817
Phone
(610) 866-5555
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MA063490 PA Primary

Addresses

Primary practice location

3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817

Mailing address

3445 High Point Blvd Ste 400
Bethlehem, PA 18017-7817
Phone (610) 866-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230911002580 PA Practitioner - Physician Assistant 5698151280 Reassigns benefits to 3 organizations

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
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Specialty Physician Associates, LLCGroup PAC ID 6204012016, 43 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1900 Am Dr
Suite 101
Quakertown, PA 18951-6403
Phone (610) 776-4512

325 N 5TH St
Allentown, PA 18102-3367

325 N 5TH St 3Rd FL
St Lukes GN Surg Beth
Allentown, PA 18102-3367
Phone (610) 776-4928

3445 High Point Blvd
Suite 400
Bethlehem, PA 18017-7808

3445 High Point Blvd
Suite 400
Bethlehem, PA 18017-7817
Phone (610) 866-5555

3445 Highpointe Blvd
Bethlehem, PA 18017-7817
Phone (610) 776-4512

6689 Sullivan TRL
Wind Gap, PA 18091-9790
Phone (610) 954-4960

6695 Sullivan TRL
Suite 201
Wind Gap, PA 18091-9790
Phone (610) 691-3131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Aug 10, 2023 Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Aug 10, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
Star Community Health, Inc Past Accepting new patients

Locations

450 Chew St
Allentown, PA 18102
Phone (610) 776-4802

325 N 5th St
#3
Allentown, PA 18102

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: jacquelyn.michalski2@slpg.direct-sluhn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1336876077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD STE 400",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177817",
            "telephone_number": "610-866-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 HIGH POINT BLVD STE 400",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177817",
            "telephone_number": "610-866-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALSKI",
        "first_name": "JACQUELYN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MA063490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.