Individual provider Active NPI

Michelle Jill Cox-Porter, PA

  • Physician Assistant
  • Cedar Park, TX
National Provider Identifier
1679702245
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA07834 Issued in TX
Practice address
351 Cypress Creek Rd
Ste 103
Cedar Park, TX 78613-4528
Phone
(512) 250-8199
NPI assigned
Jul 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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 PA07834 TX Primary

Addresses

Primary practice location

351 Cypress Creek Rd
Ste 103
Cedar Park, TX 78613-4528

Mailing address

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215-1214

Other identifiers 1

IdentifierTypeStateIssuer
0271765OtherWASTATE L&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20121003000119 TX Practitioner - Physician Assistant 8123165875 Reassigns benefits to 1 organization

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
Ucp Physicians of Central Texas, PLLCGroup PAC ID 3173697935, 99 clinicians

Practice addresses (Care Compare)

6001 W William Cannon Dr
Suite 302
Austin, TX 78749-1973
Phone (512) 288-3627

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince Jan 3, 2019 Accepting new patients
Medspring of Texas, PA Past Accepting new patients
Thucc, Inc. Past Accepting new patients

Locations

2550 N Thunderbird Cir
Ste 303
Mesa, AZ 85215
Phone (480) 289-7890

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

351 Cypress Creek Rd
Ste 103
Cedar Park, TX 78613
Phone (512) 250-8199

900 N Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 930-1025

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

1701 N US Highway 281
Marble Falls, TX 78654
Phone (830) 798-1122

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

1201 Hewitt Dr
Ste 203
Waco, TX 76712
Phone (254) 666-3627

1135 N Loop 340
Waco, TX 76705
Phone (254) 296-8736

Interoperability endpoints

  • Direct secure messaging: michelle.coxporterpac.p6@direct.nextcare.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1246665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435449600000",
    "number": "1679702245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 N THUNDERBIRD CIR",
            "address_2": "STE 303",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 CYPRESS CREEK RD",
            "address_2": "STE 103",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134528",
            "telephone_number": "512-250-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX-PORTER",
        "first_name": "MICHELLE",
        "middle_name": "JILL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-04",
        "last_updated": "2015-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0271765",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.