Individual provider Active NPI

Michael Christopher Ragusa

  • Physician Assistant
  • Lynnfield, MA
National Provider Identifier
1447127840
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
997 Salem St
Lynnfield, MA 01940-1549
Phone
(978) 317-3307
NPI assigned
Oct 20, 2025
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 MA Primary

Addresses

Primary practice location

997 Salem St
Lynnfield, MA 01940-1549

Mailing address

997 Salem St
Lynnfield, MA 01940-1549
Phone (978) 317-3307

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260223001099 MA Practitioner - Physician Assistant 0749761385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Healthcare LLCGroup PAC ID 5597131532, 30 clinicians

Practice addresses (Care Compare)

234 Main St
Wilmington, MA 01887-2341
Phone (978) 909-4966

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
360 Healthcare LLC CurrentSince Jan 12, 2026 Accepting new patients

Locations

10 Mall Rd
Ste 305
Burlington, MA 01803

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

232 S Main St
Middleton, MA 01949
Phone (781) 480-1987

234 Main St
Wilmington, MA 01887
Phone (781) 480-1987

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1447127840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 SALEM ST",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401549",
            "telephone_number": "978-317-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 SALEM ST",
            "city": "LYNNFIELD",
            "state": "MA",
            "postal_code": "019401549",
            "telephone_number": "978-317-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSA",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnfield, MA

Sources for this page

Verify at the official NPI Registry.