Active NPI
Michael E. Stevens, PA
- Physician Assistant
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1048
- Practice address
- 271 Carew St
Springfield, MA 01104-2377 - Phone
- (413) 748-9137
- Fax
- (413) 452-6049
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1192 | CT | |
| Physician Assistant | 363A00000X | 1048 | MA | Primary |
Addresses
Primary practice location
271 Carew St
Springfield, MA 01104-2377
Mailing address
271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9137
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (774) 443-7552
Other practice location 2
119 Belmont St
Worcester, MA 01605-2903
Phone (774) 443-7552
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | mstevens339919@UmassMemorial.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
233 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9212
271 Carew St
Springfield, MA 01104-2377
Phone (413) 748-9000
Hospital & facility affiliations
- Mercy Medical Ctr
- Baystate Medical Center
- Holyoke Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001192 | CT | MD | Chiropractor |
| 1192 | CT | MD | Foot & Ankle Surgery Podiatrist |
| 1048 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Hospital, Inc | Current | Accepting new patients | |
| Riverbend Medical Group, Inc | Current | Accepting new patients | |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
233 Carew St
#101
Springfield, MA 01104
Phone (413) 748-9212
271 Carew St
Springfield, MA 01104
Phone (413) 748-9000
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
160 Allen St
Rutland, VT 05701
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
- mstevens2389890@direct.trinity-health.org
- mstevens339919@umassmemorial.direct-ci.com
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1407845282
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1841651197
-
- Emergency Medicine Physician
- Rutland, VT
- NPI 1194789941
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- Emergency Medicine Physician
- Holyoke, MA
- NPI 1114426772
-
- Urgent Care Clinic/Center
- Northampton, MA
- NPI 1447495494
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1265023154
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
-
- Rehabilitation Hospital Unit
- Springfield, MA
- NPI 1750360798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616803200000",
"number": "1750480786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042377",
"telephone_number": "413-748-9137",
"fax_number": "413-452-6049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "271 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042377",
"telephone_number": "413-748-9137",
"fax_number": "413-452-6049"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "774-443-7552",
"fax_number": "774-441-6086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Belmont St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052903",
"country_code": "US",
"telephone_number": "774-443-7552",
"fax_number": "774-441-6086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "MICHAEL",
"middle_name": "E.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2021-03-27",
"certification_date": "2021-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "1192",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "1048",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mstevens339919@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.