Individual provider Active NPI

Michelle Y Sanchez, PA

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1962675538
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05560 Issued in TX
Practice address
600 Division Ave Ste E
San Antonio, TX 78214-1336
Phone
(210) 222-0333
Fax
(210) 227-4380
NPI assigned
Apr 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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 PA05560 TX Primary

Addresses

Primary practice location

600 Division Ave Ste E
San Antonio, TX 78214-1336

Mailing address

PO Box 830605
San Antonio, TX 78283-0605
Phone (210) 222-0333

Other identifiers 1

IdentifierTypeStateIssuer
205451201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090915000315 TX Practitioner - Physician Assistant 9931255049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

4243 E Southcross
Suite 205 Wellmed at Pecan Valley
San Antonio, TX 78222-3750
Phone (210) 304-3500

517 SW Military Dr
Suite 106
San Antonio, TX 78221-1639
Phone (210) 921-0322

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA05560TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Jul 31, 2020 Accepting new patients
Wellmed Medical Group, PA CurrentSince Jul 31, 2020 Accepting new patients

Locations

4203 E Southcross Blvd
San Antonio, TX 78222

600 Division Ave
Ste E
San Antonio, TX 78214
Phone (210) 924-4279

740 S Alamo St
San Antonio, TX 78205
Phone (210) 224-7688

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: michelle.sanchez@wellmed.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1962675538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 830605",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782830605",
            "telephone_number": "210-222-0333",
            "fax_number": "210-928-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DIVISION AVE STE E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782141336",
            "telephone_number": "210-222-0333",
            "fax_number": "210-227-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "MICHELLE",
        "middle_name": "Y",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-03",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205451201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.