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DAWN R MICHAEL
NPI 1275143554
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since August 03, 2020PECOS EnrolledAccepts Medicare Assignment
23.63/100
CMS Quality Rating
300 W 72ND ST APT 1D, NEW YORK, NY 10023(631) 949-1878 Get Directions Write a Review

NPPES record last updated: August 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dawn R Michael NPPES

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

DAWN R MICHAEL (NPI 1275143554) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (402320) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2017).

NPPES Registry Identity

NPI1275143554
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDAWN R MICHAEL
Location Address300 W 72ND ST APT 1DNew York, NY 10023-2661
Mailing Address30 Washington AveMastic Beach, NY 11951-1901 · (631) 949-1878
Phone(631) 949-1878
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2017
Enumeration DateAugust 3, 2020
NPPES CertifiedAugust 3, 2020
✔ NPI 1275143554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 402320
300 W 72ND ST APT 1D, New York, NY 10023
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Dawn R Michael 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 ID2466871355
PECOS Enrollment IDI20200925001332
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
828 services360 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
756 services334 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
505 services494 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
14 services14 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

23.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost78.76

Other Providers at the Same Location NPPES 4

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

JOURNEY CLINICAL PSYCHIATRY PC
Psychiatry & Neurology (Psychiatry)
300 W 72ND ST APT 1D
NEW YORK, NY 10023
New York County (917) 274-7730
MS. TARA COURTNEY CALLOW CRNP
Nurse Practitioner (Psychiatric/Mental Health)
300 W 72ND ST APT 1D
NEW YORK, NY 10023
New York County (347) 766-2155
DR. MERIAMNE B. SINGER M.D.
Psychiatry & Neurology (Psychiatry)
300 W 72ND ST APT 1D
NEW YORK, NY 10023
New York County (212) 362-4331
JOURNEY CLINICAL PSYCHIATRY CA PC
Psychiatry & Neurology (Psychiatry)
300 W 72ND ST APT 1D
NEW YORK, NY 10023
New York County (917) 274-7730

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 Dawn Michael's NPI number?

The NPI number for Dawn Michael is 1275143554. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Dawn Michael located?

Dawn Michael practices at 300 W 72nd St Apt 1D, New York, NY 10023. The listed phone number is (631) 949-1878.

What is Dawn Michael's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Dawn Michael enrolled in Medicare?

Yes. Dawn Michael is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dawn Michael accept?

Health plans from Providence Health Plan list Dawn Michael as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dawn Michael was last updated on August 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.