JORDAN MICHIEL PA-C, MPAS
NPI 1114466216
Physician Assistant in Lake Ronkonkoma, NY

Active since February 22, 2017PECOS EnrolledAccepts Medicare Assignment
25 WEICHERS ST, LAKE RONKONKOMA, NY 11779(631) 922-4617 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jordan Michiel Pa-c, Mpas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN MICHIEL PA-C, MPAS (NPI 1114466216) is an individual physician assistant in Lake Ronkonkoma, New York, licensed in New York (020649) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, is affiliated with St Catherine Of Siena Hospital Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114466216
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN MICHIELCredential: PA-C, MPAS
Location Address25 WEICHERS STLake Ronkonkoma, NY 11779-3325
Mailing Address25 Weichers StLake Ronkonkoma, NY 11779-3325
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 22, 2017
NPI 1114466216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 020649
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

25 WEICHERS ST, Lake Ronkonkoma, NY 11779

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jordan Michiel Pa-c, Mpas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820365240
PECOS Enrollment IDI20170606000863
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11779 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
25 WEICHERS ST
LAKE RONKONKOMA, NY 11779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114466216, enumerated as an "individual" on February 22, 2017.

The provider is located at 25 WEICHERS ST LAKE RONKONKOMA, NY 11779 and the phone number is (631) 922-4617.

Physician Assistant with taxonomy code 363A00000X.

Jordan Michiel is affiliated with: ST CATHERINE OF SIENA HOSPITAL MEDICAL CENTER.