Individual provider Active NPI

Micayla Marie West, PA-C

  • Physician Assistant
  • Westfield, IN
National Provider Identifier
1710642269
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004386A Issued in IN
Practice address
17600 Shamrock Blvd
Westfield, IN 46074-7002
Phone
(317) 867-5263
Fax
(317) 867-2031
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 10004386A IN Primary

Addresses

Primary practice location

17600 Shamrock Blvd
Westfield, IN 46074-7002

Mailing address

PO Box 843022
Kansas City, MO 64184-3022
Phone (317) 770-6900

Other identifiers 1

IdentifierTypeStateIssuer
300091151MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IN2 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
I20220819000250 NC Practitioner - Physician Assistant 2163805458 Reassigns benefits to 1 organization
I20240701001133 IN Practitioner - Physician Assistant 2163805458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

17600 Shamrock Blvd
Westfield, IN 46074-7002
Phone (317) 773-0760

323 W Tournament TRL
Westfield, IN 46074-6224
Phone (317) 770-7660

395 Westerfield Rd
Noblesville, IN 46060-1425

395 Westfield Dr
Noblesville, IN 46060-1425

395 Westfield FR
RM 2419
Noblesville, IN 46060-1425
Phone (317) 776-7157

395 Westfield Rd B
OB/GYN Specialists of Indiana
Noblesville, IN 46060-1425
Phone (317) 776-9440

395 Westfield Rd D
Noblesville Diabetic and Endocrinolog
Noblesville, IN 46060-1425
Phone (317) 776-3520

395 Westfield Rd RM
Noblesville, IN 46060-1425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10004386AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Jul 1, 2024 Accepting new patients
Wilmington ASC LLC CurrentSince Aug 2, 2022 Accepting new patients
Wilmington Health PLLC CurrentSince Aug 2, 2022 Accepting new patients
Wha Medical Clinic PLLC Current Accepting new patients

Locations

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

17600 Shamrock Blvd
Westfield, IN 46074
Phone (317) 214-5555

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

4141 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 792-9925

Interoperability endpoints

  • Direct secure messaging: mwest1469193@direct.novanthealth.org
  • Direct secure messaging: micaylawest@gghpc.allscriptsdirect.net

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 1

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1710642269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843022",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 SHAMROCK BLVD",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460747002",
            "telephone_number": "317-867-5263",
            "fax_number": "317-867-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "MICAYLA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004386A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300091151",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.