Individual provider Active NPI

Michelle Rose Guillot, PA-C

  • Medical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1710318340
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08699 Issued in TX
Practice address
199 Scott St Ste 800
Buffalo, NY 14204-2247
Phone
(917) 261-4414
NPI assigned
Dec 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08699 TX Primary
Physician Assistant 363A00000X PA62287 CA
Physician Assistant 363A00000X 033126 NY

Addresses

Primary practice location

199 Scott St Ste 800
Buffalo, NY 14204-2247

Mailing address

199 Scott St Ste 800
Buffalo, NY 14204-2247

Other practice location 1

1110 N Virgil Ave
Los Angeles, CA 90029-2016
Phone (917) 261-4414

Other practice location 2

104 W Mercer St Ste H
Dripping Springs, TX 78620-5248
Phone (512) 892-7076

Other identifiers 1

IdentifierTypeStateIssuer
PA08699OtherTXPA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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
I20140315000002 TX Practitioner - Physician Assistant 7517198542 Reassigns benefits to 2 organizations
I20230628001094 FL Practitioner - Physician Assistant 7517198542 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA08699TXMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: michelle.guillot.1@15349.direct.athenahealth.com

Organizations & group practices 3

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": "1386460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1710318340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SCOTT ST STE 800",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SCOTT ST STE 800",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142042247",
            "telephone_number": "917-261-4414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 N Virgil Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900292016",
            "country_code": "US",
            "telephone_number": "917-261-4414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W Mercer St Ste H",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786205248",
            "country_code": "US",
            "telephone_number": "512-892-7076",
            "fax_number": "512-899-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLOT",
        "first_name": "MICHELLE",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-08",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08699",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62287",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033126",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA08699",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.