Individual provider Active NPI

Michelle M Rossie, PA-C

  • Physician Assistant
  • Flint, MI
National Provider Identifier
1619009511
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003273 Issued in MI
Practice address
5100 Gateway Ctr
Flint, MI 48507-3927
Phone
(810) 733-6480
Fax
(810) 733-6483
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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 5601003273 MI Primary

Addresses

Primary practice location

5100 Gateway Ctr
Flint, MI 48507-3927

Mailing address

5100 Gateway Ctr
Flint, MI 48507-3927
Phone (810) 733-6480

Other identifiers 1

IdentifierTypeStateIssuer
1619009511MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040518000655 MI Practitioner - Physician Assistant 7113917378 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601003273MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Michigan Cardiology Associates PLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mrossie1149624@direct.hfhs.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1619009511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 GATEWAY CTR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073927",
            "telephone_number": "810-733-6480",
            "fax_number": "810-733-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 GATEWAY CTR",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073927",
            "telephone_number": "810-733-6480",
            "fax_number": "810-733-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSIE",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619009511",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.