Individual provider Active NPI

Michelle Renee Barrow, PAC

  • Physician Assistant
  • Cantonment, FL
National Provider Identifier
1740277805
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104436 Issued in FL
Practice address
2360 S Highway 29
Cantonment, FL 32533-8508
Phone
(850) 494-4600
Fax
(850) 968-6024
NPI assigned
Oct 4, 2005
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 PA9104436 FL Primary

Addresses

Primary practice location

2360 S Highway 29
Cantonment, FL 32533-8508

Mailing address

2360 S Highway 29
Cantonment, FL 32533-8508
Phone (850) 968-2083

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20081231000339 FL Practitioner - Physician Assistant 8325029382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Urgent Care, LLCGroup PAC ID 6406741297, 17 clinicians

Practice addresses (Care Compare)

5100 N 12TH Ave
Suite 101
Pensacola, FL 32504-8919
Phone (850) 208-6130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.81 of 100Reported as group
Quality
76.75
Promoting interoperability
99
Improvement activities
40
Cost
70.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9104436FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
White Stone Family Practice Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.barrow.p1@direct.bondclinicpa.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1740277805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 S HIGHWAY 29",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325338508",
            "telephone_number": "850-968-2083",
            "fax_number": "850-968-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 S HIGHWAY 29",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325338508",
            "telephone_number": "850-494-4600",
            "fax_number": "850-968-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROW",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cantonment, FL

Sources for this page

Verify at the official NPI Registry.