Michelle Fouche, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085002836 Issued in IL

Practice address

300 N Ottawa St
Joliet, IL 60432-4009

Phone

(815) 726-0311

NPI assigned

Nov 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: mfouche@phytou.curemd.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1881970036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324009",
            "telephone_number": "815-726-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324009",
            "telephone_number": "815-726-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 S Austin Blvd",
            "address_purpose": "LOCATION",
            "city": "Cicero",
            "state": "IL",
            "postal_code": "608043732",
            "country_code": "US",
            "telephone_number": "708-933-3840",
            "fax_number": "708-292-4429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUCHE",
        "first_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Ashley Foreman
• Forevermore Mind Body & Soul (Forevermore Healthcare)
• Allison Renee Fortier, PHARMD
• Fostering Hope of Illinois
• Jessica Lynn Fouch, B.S.
• James Bryan Fountain II, PTA
• Latisha Fox
• Julia Catherine Fraczek, MM, LPMT, MT-BC
• Vijaykumar Francis, PT
• Deborah M Freeman, M.D.

• Physician Assistant in Joliet, IL
• Providers in Joliet, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.

Verify at the official NPI Registry.