Individual provider Active NPI

Michelle Jiles Hill, PA-C

  • Surgical Physician Assistant
  • Severna Park, MD
National Provider Identifier
1871785311
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C02894 Issued in MD
Practice address
31 Robinson Rd
Severna Park, MD 21146-2841
Phone
(410) 544-6077
Fax
(410) 544-5939
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C02894 MD Primary

Addresses

Primary practice location

31 Robinson Rd
Severna Park, MD 21146-2841

Mailing address

7009 Arundel Mills Cir
Hanover, MD 21076-1387
Phone (410) 777-7366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110506000212 MD Practitioner - Physician Assistant 3072798016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C02894MDMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: mhill32352@direct.mdmercy.com

Organizations & group practices 1

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": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1871785311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 ARUNDEL MILLS CIR",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761387",
            "telephone_number": "410-777-7366",
            "fax_number": "410-777-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROBINSON RD",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462841",
            "telephone_number": "410-544-6077",
            "fax_number": "410-544-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "MICHELLE",
        "middle_name": "JILES",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C02894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

Verify at the official NPI Registry.