NPIMap

Individual provider Active NPI

Michael Oliver Hessel, PA-C

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1902312259
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
520 S Elm Ave
Saint Louis, MO 63119-3845
Phone
(314) 645-4434
Fax
(314) 645-3801
NPI assigned
Dec 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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 Primary

Addresses

Primary practice location

520 S Elm Ave
Saint Louis, MO 63119-3845

Mailing address

520 S Elm Ave
Saint Louis, MO 63119-3845
Phone (314) 645-4434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180703000751 MO Practitioner - Physician Assistant 4587910674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clayton Medical Associates PCGroup PAC ID 9133177587, 5 clinicians

Practice addresses (Care Compare)

520 S Elm Ave
Saint Louis Rheumatology
Saint Louis, MO 63119-3845
Phone (314) 645-4434

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1902312259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S ELM AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193845",
            "telephone_number": "314-645-4434",
            "fax_number": "314-645-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ELM AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193845",
            "telephone_number": "314-645-4434",
            "fax_number": "314-645-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSEL",
        "first_name": "MICHAEL",
        "middle_name": "OLIVER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-22",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.