Individual provider Active NPI

Michelle M. Maureau, DO

  • Emergency Medicine Physician
  • Fraser, MI
National Provider Identifier
1609821073
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101012819 Issued in MI
Practice address
17717 Masonic
Fraser, MI 48026-3158
Phone
(586) 294-0600
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 79108 MN
Emergency Medicine Physician 207P00000X 226301 NY
Emergency Medicine Physician 207P00000X 5101012819 MI Primary
General Practice Physician 208D00000X 5101012819 MI

Addresses

Primary practice location

17717 Masonic
Fraser, MI 48026-3158

Mailing address

17717 Masonic
Fraser, MI 48026-3158
Phone (586) 294-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, NY, CT, IL, KY, MN7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20070504000118 MI Practitioner - Emergency Medicine 9032215223 Reassigns benefits to 3 organizations
I20070823000024 FL Practitioner - Emergency Medicine 9032215223 Reassigns benefits to 6 organizations
I20121109000104 NY Practitioner - Emergency Medicine 9032215223 Reassigns benefits to 1 organization
I20130318000111 CT Practitioner - Emergency Medicine 9032215223 Reassigns benefits to 2 organizations
I20200107001562 IL Practitioner - Emergency Medicine 9032215223 Reassigns benefits to 2 organizations
I20200828002432 KY Practitioner - Emergency Medicine 9032215223 Reassigns benefits to 3 organizations
I20251020000436 MN Practitioner - Emergency Medicine 9032215223

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Nova Southeastern College of Osteo Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidewell Emergency Medicine Doctors, LLCGroup PAC ID 8224352919, 88 clinicians

Practice addresses (Care Compare)

113 N Orlando Ave
Winter Park, FL 32789-3675
Phone (407) 801-8400

Hospital & facility affiliations

  • Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101012819MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health of Northern Minnesota CurrentSince Sep 17, 2025 Accepting new patients
St. Joseph Emergency Medical Physicians PA Emergency Medicine CurrentSince Nov 16, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 20, 2019 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
United Medical Associates, P.C. CurrentSince Oct 31, 2024 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine Current Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Jan 9, 2018 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Mar 1, 2023 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Dec 20, 2019 Accepting new patients
Genesis Health System CurrentSince Jun 1, 2022 Accepting new patients
United Medical Associates PC CurrentSince Oct 31, 2024 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Sep 17, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Nov 14, 2025 Accepting new patients
Southern Medical Partners, LLC Emergency Medicine CurrentSince Jul 25, 2020 Accepting new patients
Pine Mountain Emergency Group Limited Liability Company Emergency Medicine CurrentSince Aug 17, 2020 Accepting new patients
Emergency Medicine Physicians of New Haven County,LLC Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Guidewell Emergency Medicine Doctors, LLC CurrentSince Apr 6, 2025 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC Emergency Medicine CurrentSince Dec 21, 2016 Accepting new patients
Pensacola Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 15, 2014 Accepting new patients
Usacs of Connecticut, LLC Emergency Medicine CurrentSince Dec 13, 2022 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Guidewell Emergency Medicine Doctors, LLC CurrentSince May 21, 2024 Accepting new patients
Sterthaus ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
M Maureau DO PLLC General Practice PastSince Mar 1, 2012 Accepting new patients
Internal Medicine Solutions PLLC PastSince Dec 9, 2019 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
Sturgis Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Kalamazoo Emergency Associates, PLC Emergency Medicine Past Accepting new patients
Shorecoast ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Three Rivers Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Oakfield Drive Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
Emergency Physicians Inc Emergency Medicine Past Accepting new patients

Locations (25 of 38)

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

1796 US Highway 441 N
Okeechobee, FL 34972
Phone (863) 467-5222

1706 N Semoran Blvd
Ste 100
Orlando, FL 32807
Phone (321) 804-9110

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

113 N Orlando Ave
Winter Park, FL 32789
Phone (407) 801-8400

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

81 Ball Park Rd
Harlan, KY 40831
Phone (606) 573-8100

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: mmaureau@direct.wtbyhosp.org

Organizations & group practices 37

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.

View all 37

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1609821073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17717 MASONIC",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263158",
            "telephone_number": "586-294-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17717 MASONIC",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263158",
            "telephone_number": "586-294-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUREAU",
        "first_name": "MICHELLE",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "79108",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "226301",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101012819",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101012819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

Verify at the official NPI Registry.