Michelle Kukielski, PA-C
Individual provider Active NPI Physician Assistant · Plano, TX
NPI 1578053013 · NPPES record last updated May 26, 2023
Key facts
- NPI
- 1578053013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA11937 (TX)
- Practice address
- 3108 Midway Rd Ste 104
Plano, TX 75093-8485 - Phone
- (972) 398-0393
- Fax
- (972) 398-0499
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Digestive Disease Consultants, PLLC
Practice addresses (Care Compare)
3242 Preston Rd
Suite 200
Plano, TX 75093-3328
Phone (972) 867-0019
5425 W Spring Creek Pkwy
Suite 205
Plano, TX 75024-4236
Phone (972) 526-5860
5800 Communications Pkwy
Plano, TX 75093-7882
Phone (972) 265-4190
7150 N President George Bush Hwy
Suite 201
Garland, TX 75044-2210
Phone (972) 771-2222
P O Box
Suite 35629
Dallas, TX 75235-0629
PO Box
Suite 35629
Dallas, TX 75235-0629
Hospital & facility affiliations
- Texas Health Presbyterian Hospital Plano
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180726001559 | TX | Practitioner - Physician Assistant | 6103173885 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11937 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current |
Accepting new patients | |
| Texas Health Physicians Group | Current |
Accepting new patients | |
| Texas Health Physicians Group | Current |
Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Past | Accepting new patients |
Locations
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
6124 W Parker Rd
Ste 336
Plano, TX 75093
Phone (972) 403-3100
3108 Midway Rd
Ste 104
Plano, TX 75093
Phone (214) 731-3008
6124 W Parker Rd
Ste 338
Plano, TX 75093
Phone (972) 981-7210
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11937 | TX | Yes |
Addresses
Primary practice location
3108 Midway Rd Ste 104
Plano, TX 75093-8485
Mailing address
3108 Midway Rd Ste 104
Plano, TX 75093-8485
Phone (972) 398-0393
Other practice location 1
5800 Communications Pkwy
Plano, TX 75093-7882
Phone (972) 265-4190
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.