Individual provider Active NPI

Michelle L Michael, PA

  • Physician Assistant
  • Seymour, IN
National Provider Identifier
1568774115
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000371 Issued in IN
Practice address
100 N Walnut St
Seymour, IN 47274-2192
Phone
(812) 523-5185
Fax
(812) 523-3826
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 10000371 IN Primary

Addresses

Primary practice location

100 N Walnut St
Seymour, IN 47274-2192

Mailing address

100 N Walnut St
Seymour, IN 47274-2192
Phone (812) 523-5185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20101014000836 IN Practitioner - Physician Assistant 4385836964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1124 Medical PL
Seymour, IN 47274-2640
Phone (812) 522-1613

1130 Medical PL
Seymour, IN 47274-2640
Phone (812) 519-1552

200 S Walnut St
Schneck Medical Center
Seymour, IN 47274-2312
Phone (812) 522-2349

403 S Main St
Salem, IN 47167-1350
Phone (812) 883-1760

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10000371INMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Schneck Memorial Hospital CurrentSince Jul 25, 2022 Accepting new patients
Indiana Medical Associates, LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

1001 N Grant St
Lebanon, IN 46052
Phone (765) 482-6400

1124 Medical Pl
Seymour, IN 47274
Phone (812) 519-1552

100 N Walnut St
Seymour, IN 47274
Phone (812) 523-5185

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

Organizations & group practices 5

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 1

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1568774115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WALNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742192",
            "telephone_number": "812-523-5185",
            "fax_number": "812-523-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N WALNUT ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742192",
            "telephone_number": "812-523-5185",
            "fax_number": "812-523-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.