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MICHELINE I CAVALLACCI PA-C
NPI 1235113994
Physician Assistant in Medford, OR

Active since December 05, 2005PECOS Enrolled
1600 DELTA WATERS RD, SUITE 107, MEDFORD, OR 97504(541) 858-2515(541) 858-2514 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Mar 14, 2017 (2 updates tracked since 2017).

About Micheline I Cavallacci Pa-c NPPES

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

MICHELINE I CAVALLACCI PA-C (NPI 1235113994) is an individual physician assistant in Medford, Oregon and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235113994
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELINE I CAVALLACCICredential: PA-C
Location Address1600 DELTA WATERS RD, SUITE 107Medford, OR 97504-9114
Mailing Address815 N Central AveMedford, OR 97501-5873 · (541) 734-9030 · Fax (541) 734-9885
Phone(541) 858-2515
Fax(541) 858-2514
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1235113994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2939 (FL)
1600 DELTA WATERS RD, Medford, OR 97504
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Other Names 1

Former Name (1)Micheline I Sand

Other Identifiers 2

OtherPA175803Medical License
Medicaid291580400FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micheline I Cavallacci Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 12

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

JOHN D BERLINGERI PA
Physician Assistant
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Jackson County (541) 858-2515
KATHRYN A WARNER FNP
Nurse Practitioner (Family)
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Jackson County (541) 858-2515
ROBERT R. HOFFNER PA-C
Physician Assistant
1600 DELTA WATERS RD, 107
MEDFORD, OR 97504
Jackson County (541) 858-2515
THOMAS PETER PENNER M.D.
Family Medicine
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Jackson County (541) 858-2515
NICODEMUS REID SOLORIO PA-C
Physician Assistant
1600 DELTA WATERS RD
MEDFORD, OR 97504
Jackson County (541) 858-2515
JEFFREY GRAY WILLIAMS M.D.
Emergency Medicine
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Jackson County (541) 858-2515
PETER J GRAY PA-C
Physician Assistant
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Jackson County (541) 858-2515
MARIA DAWN MILLER M.D.
Family Medicine
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 97504
Jackson County (541) 858-2515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micheline Cavallacci's NPI number?

The NPI number for Micheline Cavallacci is 1235113994. It was assigned to this individual provider in the NPPES registry on December 5, 2005. The provider is also known as Micheline I Sand.

Where is Micheline Cavallacci located?

Micheline Cavallacci practices at 1600 Delta Waters Rd Suite 107, Medford, OR 97504. The listed phone number is (541) 858-2515.

What is Micheline Cavallacci's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Micheline Cavallacci enrolled in Medicare?

Yes. Micheline Cavallacci is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Micheline Cavallacci was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.