Individual provider Active NPI

Michelle Pipta, PA, RDH

  • Physician Assistant
  • Annapolis, MD
National Provider Identifier
1679783856
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C05939 Issued in MD
Practice address
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone
(443) 481-1750
Fax
(443) 481-1687
NPI assigned
May 23, 2007
Last updated
Jan 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C05939 MD Primary
Dental Hygienist 124Q00000X 0402203987 VA

Addresses

Primary practice location

2001 Medical Pkwy
Annapolis, MD 21401-3773

Mailing address

PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6569

Other names 1

  • Michelle Neuhalfen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160113000781 MD Practitioner - Physician Assistant 0547562159 Reassigns benefits to 2 organizations
I20171220000599 DC Practitioner - Physician Assistant 0547562159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

1106 Annapolis Rd
Suite 130
Odenton, MD 21113-1739
Phone (410) 268-8862

2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3743
Phone (410) 268-8862

2003 Medical Pkwy
Annapolis, MD 21401-3081

2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0402203987VAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Apr 17, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
Orthopedic Physicians of Annapolis LLC CurrentSince May 8, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 17, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 8, 2020 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

201 Defense Hwy
Ste 150
Annapolis, MD 21401

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 101
Chester, MD 21619
Phone (410) 604-6560

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

Interoperability endpoints

  • Direct secure messaging: mpipta105228@direct.aahs.org

Organizations & group practices 8

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.

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1679783856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12622",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154017",
            "telephone_number": "443-481-6569",
            "fax_number": "443-481-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013773",
            "telephone_number": "443-481-1750",
            "fax_number": "443-481-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPTA",
        "first_name": "MICHELLE",
        "credential": "PA, RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C05939",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402203987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "NEUHALFEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.