Individual provider Active NPI

Michelle R. Filiau, PA-C

  • Surgical Physician Assistant
  • Springfield, MA
National Provider Identifier
1689920217
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA4473 Issued in MA
Practice address
819 Worcester St Ste 1
Springfield, MA 01151-1045
Phone
(413) 304-2501
Fax
(413) 789-0290
NPI assigned
Aug 1, 2012
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA4473 MA Primary

Addresses

Primary practice location

819 Worcester St Ste 1
Springfield, MA 01151-1045

Mailing address

819 Worcester St Ste 1
Springfield, MA 01151-1045
Phone (413) 304-2501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121011000100 MA Practitioner - Physician Assistant 0749439586 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA4473MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 7, 2019 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Sep 1, 2018 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Oct 7, 2019 Accepting new patients
Riverbend Medical Group, Inc. CurrentSince Sep 1, 2018 Accepting new patients

Locations

464 Main St
Agawam, MA 01001
Phone (413) 333-2200

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

395 Southampton Rd
Ste 100
Westfield, MA 01085
Phone (413) 485-4661

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1689920217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST STE 1",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511045",
            "telephone_number": "413-304-2501",
            "fax_number": "413-789-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WORCESTER ST STE 1",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011511045",
            "telephone_number": "413-304-2501",
            "fax_number": "413-789-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIAU",
        "first_name": "MICHELLE",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA4473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.