Active NPI
Michelle C Garrison, PA-C
- Physician Assistant
- Newport, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2621
- Practice address
- 1400 Grand Ave
Newport, KY 41071-2570 - Phone
- (856) 905-3070
- Fax
- (859) 441-1348
- NPI assigned
- Jan 28, 2010
- Last updated
- Jun 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.003015RX | OH | |
| Physician Assistant | 363A00000X | PA2621 | KY | Primary |
| Emergency Medicine Physician | 207P00000X | 50.003015RX | OH |
Addresses
Primary practice location
1400 Grand Ave
Newport, KY 41071-2570
Mailing address
600 Cross Pointe Rd
Suite a
Gahanna, OH 43230-6696
Phone (513) 725-2186
Other practice location 1
4355 Ferguson Dr
Suite 270
Cincinnati, OH 45245-5136
Phone (513) 718-0115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088494 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
1400 Grand Ave
Newport, KY 41071-2570
Phone (859) 301-5901
1640 Flossie Dr
Greendale, IN 47025-8424
Phone (855) 277-4230
2626 Alexandria Pike
Highland Heights, KY 41076-1530
Phone (859) 301-5901
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.003015RX | OH | MD | Emergency Medicine Physician |
| PA2621 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Accudoc Inc PC | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Accudoc Inc PC | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Physician Assistant | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Past | Accepting new patients | |
| Laser Spine Institute, LLC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Hamilton County, LTD. | Emergency Medicine | Past | Accepting new patients |
| Cincinnati Pain Management Consultants LTD | Past | Accepting new patients | |
| Summit Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
334 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 344-3737
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114
620 Ring Rd
Harrison, OH 45030
Phone (513) 202-9600
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
Interoperability endpoints
- mgarrison349130@direct-prd.stelizabeth.com
Organizations & group practices 15
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.
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Physician Assistant
-
dba St. Elizabeth Physicians Behavioral Health
- Psychiatry Physician
- Erlanger, KY
- NPI 1508287640
IN
-
- Emergency Medicine Physician
- Cincinnati, OH
- NPI 1922483213
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1477957819
-
- Emergency Medicine Physician
- Montgomery, OH
- NPI 1700872728
-
dba St. Elizabeth Physicians
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
dba St. Elizabeth Physicians Urgent Care
- Urgent Care Clinic/Center
- Highland Heights, KY
- NPI 1881026169
Physician Assistant
-
dba St. Elizabeth Physicians
- Rural Health Clinic/Center
- Milan, IN
- NPI 1326881475
Physician Assistant
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Florence
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
dba St Elizabeth Ft. Thomas
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1578894713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CROSS POINTE RD",
"address_2": "SUITE A",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432306696",
"telephone_number": "513-725-2186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GRAND AVE",
"city": "NEWPORT",
"state": "KY",
"postal_code": "410712570",
"telephone_number": "856-905-3070",
"fax_number": "859-441-1348"
}
],
"practiceLocations": [
{
"address_1": "4355 Ferguson Dr",
"address_2": "Suite 270",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452455136",
"country_code": "US",
"telephone_number": "513-718-0115",
"fax_number": "513-718-0116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRISON",
"first_name": "MICHELLE",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003015RX",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2621",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "50.003015RX",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088494",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.