Individual provider Active NPI

Michelle E. Carey, PA-C

  • Physician Assistant
  • Vail, CO
National Provider Identifier
1811239684
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0004242 Issued in CO
Practice address
108 S Frontage Rd W Ste 101
Vail, CO 81657-5087
Phone
(970) 926-6340
Fax
(970) 926-6348
NPI assigned
Mar 20, 2013
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA4662 MA
Physician Assistant 363A00000X PA.0004242 CO Primary

Addresses

Primary practice location

108 S Frontage Rd W Ste 101
Vail, CO 81657-5087

Mailing address

PO Box 4330
Avon, CO 81620-4330
Phone (709) 266-3409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO2 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
I20130725000056 MA Practitioner - Physician Assistant 3577704121 Reassigns benefits to 4 organizations
I20150930002250 CO Practitioner - Physician Assistant 3577704121 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Faculty Services IncGroup PAC ID 8224068424, 276 clinicians

Practice addresses (Care Compare)

197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 346-1845

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0004242COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Nov 6, 2018 Accepting new patients
Usacs of Colorado Inc CurrentSince Mar 1, 2017 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Dec 25, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Nov 6, 2018 Accepting new patients
Fairview Hospital CurrentSince Jun 3, 2023 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince Nov 6, 2018 Accepting new patients
Fairview Hospital CurrentSince Oct 17, 2023 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Dec 25, 2023 Accepting new patients
Fairview Hospital CurrentSince Jun 3, 2023 Accepting new patients
Premier Emergency Services, Inc CurrentSince Mar 1, 2017 Accepting new patients
Usacs Community Emergency Services of Colorado, Inc. CurrentSince Nov 6, 2018 Accepting new patients

Locations

7000 E Hampden Ave
Denver, CO 80224
Phone (330) 925-4199

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

197 Adams Rd
Williamstown, MA 01267
Phone (413) 458-8182

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1811239684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4330",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816204330",
            "telephone_number": "709-266-3409",
            "fax_number": "970-926-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S FRONTAGE RD W STE 101",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575087",
            "telephone_number": "970-926-6340",
            "fax_number": "970-926-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "MICHELLE",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA4662",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.