Michael Kristopher Jefferson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA8749 Issued in MA

Practice address

725 North St
Pittsfield, MA 01201-4109

Phone

(413) 447-7972

NPI assigned

Sep 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MA, ME3 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 3

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Careall PCGroup PAC ID 1052651940, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Careall P.C.

  • Urgent Care Clinic/Center
  • South Portland, ME
  • NPI 1700355567
  Medicare reassignment Care Compare group
• Berkshire Medical Center, Inc

  • General Acute Care Hospital
  • Pittsfield, MA
  • NPI 1295765261
  Medicare reassignment NPD
• Berkshire Faculty Services Inc

  • Multi-Specialty Clinic/Center
  • Pittsfield, MA
  • NPI 1548212939
  Medicare reassignment
• Community Health Programs, Inc.

  • Federally Qualified Health Center (FQHC)
  • Great Barrington, MA
  • NPI 1013953009
  Medicare reassignment
• Western Mass Physician Associates Inc

  • Obstetrics & Gynecology Physician
  • Chicopee, MA
  • NPI 1922009547
  Medicare reassignment
• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1497921688
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MA

  Medicare reassignment
• Berkshire Medical Center Inc.

  • Community/Retail Pharmacy
  • North Adams, MA
  • NPI 1932649753
  NPD
• Community Health Programs, Inc.

  • Pediatrics Physician
  • Pittsfield, MA
  • NPI 1942720214
  NPD
• Fairview Hospital

  • Rural Health Clinic/Center
  • Great Barrington, MA
  • NPI 1881252286
  NPD
• Western Mass Physician Associates Inc

  • Internal Medicine Physician
  • Chicopee, MA
  • NPI 1205315793
  NPD
• Albany Medical College

  • Emergency Medicine Physician
  • Albany, NY
  • NPI 1174553093

  Physician Assistant

  NPD

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1972119600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 EUCLID AVE",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015925",
            "telephone_number": "240-449-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014109",
            "telephone_number": "413-447-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "MICHAEL",
        "middle_name": "KRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027584",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer James
• Jan Greene Physical Therapy Inc
• Kayla Jansen
• Jonathan Jassy
• Mohammad Javid, DDS
• Jeffrey Burl, PHD, PLLC
• Charell N Jenkins, DSW, LICSW, LCSW-C
• Kathryn Leone Jensen, PHD
• Syeda Masharab Jillani
• Polina Jitov, LICSW

• Physician Assistant in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.