Michelle Puopolo

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

110 W Squantum St
North Quincy, MA 02171-2122

Phone

(617) 376-3000

Fax

(617) 774-1905

NPI assigned

Jan 18, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manet Community Health Center, Inc.Group PAC ID 4486555158, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• South Shore Visiting Nurse Association Home health agency, Rockland, MA, CCN 227082
• Croi Health Home health agency, Norwell, MA, CCN 227241
• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4368/brand/1/csg/1/fhir/r4
• Direct secure messaging: michelle.puopolo.1@4368.direct.athenahealth.com

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.

• Manet Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • North Quincy, MA
  • NPI 1114027539
  Medicare reassignment Care Compare group NPD
• Manet Community Health Center, Inc.

  dba Manet Community Health Center at Taunton Public Schools

  • Federally Qualified Health Center (FQHC)
  • Taunton, MA
  • NPI 1063123271
  NPD
• Manet Community Health Center, Inc.

  dba Manet Community Health Center, Inc. at Snug Harbor

  • Federally Qualified Health Center (FQHC)
  • Quincy, MA
  • NPI 1891731956
  NPD (past)

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

• South Shore Hospital Inc.

  dba South Shore Visiting Nurse Association

  • Home Health Agency
  • Braintree, MA
  • NPI 1669558474
  Care Compare affiliation Name & address match
• Norwell Visiting Nurse Association Inc

  • Home Health Agency
  • Norwell, MA
  • NPI 1043398498
  Care Compare affiliation
• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1396497624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-376-3000",
            "fax_number": "617-774-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SQUANTUM ST",
            "city": "NORTH QUINCY",
            "state": "MA",
            "postal_code": "021712122",
            "telephone_number": "617-376-3000",
            "fax_number": "617-774-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUOPOLO",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murielle Pierre-Joachim, ARNP
• Ellen A Pitt, M.D.
• Alexandra Renee Plaisance, FNP-C
• Naphtali Polynice
• Rachide Poteau
• Debra Sue Rooklin, LMHC
• Dorothy Margarita Savini, NP- PEDIATRICS
• Tamar E Siracusa, APRN
• Gregory J Smith, MD
• Katherine R Standish

• Physician Assistant in North Quincy, MA
• Providers in North Quincy, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.

Verify at the official NPI Registry.