Individual provider Active NPI

Michelle R Morel, RPAC

  • Physician Assistant
  • Iron Mountain, MI
National Provider Identifier
1437239258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003730 Issued in MI
Practice address
1711 S Stephenson Ave Ste 315
Iron Mountain, MI 49801-3650
Phone
(906) 774-6257
Fax
(906) 774-6390
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003730 MI Primary

Addresses

Primary practice location

1711 S Stephenson Ave Ste 315
Iron Mountain, MI 49801-3650

Mailing address

1711 S Stephenson Ave Ste 315
Iron Mountain, MI 49801-3650
Phone (906) 774-6257

Other identifiers 1

IdentifierTypeStateIssuer
5601003730OtherMISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20050705000372 MI Practitioner - Physician Assistant 5395781009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1711 S Stephenson Ave
Iron Mountain, MI 49801-3650

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone (906) 774-1313

417 Washington Ave
Iron River, MI 49935-2214
Phone (906) 776-5955

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dickinson County Healthcare System Physician Assistant CurrentSince Nov 1, 2014 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Dickinson County Healthcare System CurrentSince Nov 1, 2014 Accepting new patients

Locations

1711 S Stephenson Ave
Ste 315
Iron Mountain, MI 49801
Phone (906) 774-6257

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

1010 Olive Ave
Florence, WI 54121
Phone (715) 528-4775

Interoperability endpoints

  • Direct secure messaging: michelle.morel@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437239258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE STE 315",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013650",
            "telephone_number": "906-774-6257",
            "fax_number": "906-774-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 S STEPHENSON AVE STE 315",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498013650",
            "telephone_number": "906-774-6257",
            "fax_number": "906-774-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREL",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5601003730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iron Mountain, MI

Sources for this page

Verify at the official NPI Registry.