Michelle L Lindberg, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA01444 Issued in TX

Practice address

1721 Birmingham Dr
College Station, TX 77845-4082

Phone

(979) 764-1474

Fax

(979) 764-9249

NPI assigned

May 3, 2010

Sex

Female

Sole proprietor

No

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 TX

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

University of Texas Medical Branch at Galveston, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marcel E. Lechin, M.D., P.a.Group PAC ID 4587736939, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1407173289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454082",
            "telephone_number": "979-764-1474",
            "fax_number": "979-764-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454082",
            "telephone_number": "979-764-1474",
            "fax_number": "979-764-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBERG",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Culpepper Light, D.D.S.
• Jennifer Light, DNP, APRN, CNM
• Randall Ray Light, M.D.
• Milagros Lee Liles
• Wiley Dennis Lincoln
• Cody Clayton Lindsey, M.D.
• Charly Ross U Lingan
• Mary Lovejoy Lingan, PT
• Patrick Linne, D.C
• Albert Linsley, PHARMD

• Medical Physician Assistant in College Station, TX
• Providers in College Station, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.