Individual provider Active NPI

Michelle Burgess, PAC

  • Physician Assistant
  • South Deerfield, MA
National Provider Identifier
1508835018
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
885 Issued in MA
Practice address
235 Greenfield Rd
South Deerfield, MA 01373-9790
Phone
(413) 665-2099
Fax
(413) 665-5189
NPI assigned
Mar 16, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 885 MA Primary

Addresses

Primary practice location

235 Greenfield Rd
South Deerfield, MA 01373-9790

Mailing address

235 Greenfield Rd
South Deerfield, MA 01373-9790
Phone (413) 665-2099

Other identifiers 1

IdentifierTypeStateIssuer
808005OtherMACONNECTICARE

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
I20050722000227 MA Practitioner - Physician Assistant 6204863111 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am Medical PCGroup PAC ID 9133451990, 14 clinicians
Geriatric Primary Care PCGroup PAC ID 7315483583, 14 clinicians

Practice addresses (Care Compare)

1200 Converse St
Longmeadow, MA 01106-1675
Phone (413) 374-0031

345 Haydenville Rd
Leeds, MA 01053-9789
Phone (413) 374-0031

723 Main St
Agawam, MA 01001-2540
Phone (413) 374-0031

73 S St
Ware, MA 01082-1689
Phone (413) 374-0031

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Mercy Hospital Inc CurrentSince Sep 3, 2002 Accepting new patients
The Mercy Hospital Inc CurrentSince Sep 3, 2002 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Organizations & group practices 7

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 2

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508835018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GREENFIELD RD",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739790",
            "telephone_number": "413-665-2099",
            "fax_number": "413-665-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 GREENFIELD RD",
            "city": "SOUTH DEERFIELD",
            "state": "MA",
            "postal_code": "013739790",
            "telephone_number": "413-665-2099",
            "fax_number": "413-665-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "MICHELLE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "808005",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Deerfield, MA

Sources for this page

Verify at the official NPI Registry.