Active NPI
Michelle Dawn Bates, PA-C
- Medical Physician Assistant
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA061311
- Practice address
- 1695 Roosevelt Ave Ste B
York, PA 17408-8521 - Phone
- (717) 812-4090
- NPI assigned
- Jan 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA061311 | PA | Primary |
Addresses
Primary practice location
1695 Roosevelt Ave Ste B
York, PA 17408-8521
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-7559
Other practice location 2
2319 S George St
York, PA 17403-5009
Phone (717) 812-4090
Other practice location 3
25 Monument Rd Ste 290
York, PA 17403-5073
Phone (717) 812-4090
Other practice location 4
197 Hartline Rd
Clarence, PA 16829-8029
Phone (814) 380-1571
Other practice location 5
2250 E Market St
York, PA 17402-2857
Phone (717) 812-6670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200326002506 | PA | Practitioner - Physician Assistant | 4082043021 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
1695 Roosevelt Ave
Suite B
York, PA 17408-8521
Phone (717) 851-5503
2319 S George St
Wellspan Orthopedics
York, PA 17403-5009
Phone (717) 812-4090
2339 S George St
York, PA 17403-5009
25 Monument Rd
York, PA 17403-5073
2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214
914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214
Hospital & facility affiliations
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA061311 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204
1695 Roosevelt Ave
Ste B
York, PA 17408
25 Monument Rd
Ste 290
York, PA 17403
Phone (717) 741-8220
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
2250 E Market St
York, PA 17402
Phone (717) 812-6670
2319 S George St
York, PA 17403
Phone (717) 747-9911
Interoperability endpoints
- mkachik223840@wellspan.direct-ci.com
Organizations & group practices 11
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.
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-
- Podiatrist
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- NPI 1700567260
-
- Urology Physician
- Gettysburg, PA
- NPI 1790195576
-
- Neurology Physician
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- NPI 1831251792
-
- Diagnostic Radiology Physician
- York, PA
- NPI 1952587727
-
- Family Medicine Physician
- Thurmont, MD
- NPI 1881762995
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Surgery Physician
- York, PA
- NPI 1619305505
Hospital & facility affiliations 4
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": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1972133643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 ROOSEVELT AVE STE B",
"city": "YORK",
"state": "PA",
"postal_code": "174088521",
"telephone_number": "717-812-4090"
}
],
"practiceLocations": [
{
"address_1": "1227 Baltimore St",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173314406",
"country_code": "US",
"telephone_number": "717-812-7559",
"fax_number": "717-632-2422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2319 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035009",
"country_code": "US",
"telephone_number": "717-812-4090",
"fax_number": "717-741-3554",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd Ste 290",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035073",
"country_code": "US",
"telephone_number": "717-812-4090",
"fax_number": "717-812-4092",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "197 Hartline Rd",
"address_purpose": "LOCATION",
"city": "Clarence",
"state": "PA",
"postal_code": "168298029",
"country_code": "US",
"telephone_number": "814-380-1571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 E Market St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174022857",
"country_code": "US",
"telephone_number": "717-812-6670",
"fax_number": "717-755-7171",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATES",
"first_name": "MICHELLE",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-22",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA061311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.