Individual provider Active NPI

Michelle Norma Stone, PA

  • Physician Assistant
  • Driggs, ID
National Provider Identifier
1629626411
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2287 Issued in ID
Practice address
120 E Howard Ave
Driggs, ID 83422
Phone
(208) 354-2383
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA58516 CA
Surgical Physician Assistant 363AS0400X PA-2287 ID
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X PA-2287 ID
Physician Assistant 363A00000X PA-2287 ID Primary
Orthopedic Assistant 246ZX2200X PA-2287 ID
Medical Physician Assistant 363AM0700X PA-2287 ID

Addresses

Primary practice location

120 E Howard Ave
Driggs, ID 83422

Mailing address

120 E Howard Ave
Driggs, ID 83422
Phone (208) 354-2383

Other practice location 1

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20220804001784 ID Practitioner - Physician Assistant 0345650495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teton Valley Health Care IncGroup PAC ID 3870744956, 31 clinicians

Practice addresses (Care Compare)

283 N 1St St
Driggs, ID 83422-5109
Phone (208) 354-2302

83 N Main St
Victor, ID 83455-1301
Phone (208) 354-6307

Hospital & facility affiliations

  • Teton Valley Hospital Hospital, Driggs, ID, CCN 131313
  • St Johns Medical Center Hospital, Jackson, WY, CCN 530015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-2287IDMDSports Medicine (Orthopaedic Surgery) Physician
PA58516CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care, Inc CurrentSince Sep 1, 2022 Accepting new patients
Teton Valley Health Care Inc CurrentSince Oct 30, 2025 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients

Locations

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302

Interoperability endpoints

  • Direct secure messaging: michelle.stone.1@15468.direct.athenahealth.com

Organizations & group practices 4

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 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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1629626411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E HOWARD AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "83422",
            "telephone_number": "208-354-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E HOWARD AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "83422",
            "telephone_number": "208-354-2383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Welch Rd",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041601",
            "country_code": "US",
            "telephone_number": "650-497-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "MICHELLE",
        "middle_name": "NORMA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58516",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "PA-2287",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "ID",
            "license": "PA-2287",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2287",
            "primary": true
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "ID",
            "license": "PA-2287",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-2287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Driggs, ID

Sources for this page

Verify at the official NPI Registry.