MICHELLE SULLIVAN BRUZATORI PA-C
NPI 1306205885
Physician Assistant in Little Rock, AR

Q: What is Michelle Bruzatori's NPI number?

The NPI number for Michelle Bruzatori is 1306205885. It was assigned to this individual provider in the NPPES registry on February 12, 2016. The provider is also known as Michelle Regan Sullivan.

Q: What is Michelle Bruzatori's specialty?

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

Active since February 12, 2016PECOS EnrolledAccepts Medicare Assignment

9500 KANIS RD STE 501, LITTLE ROCK, AR 72205(501) 227-9080(501) 227-0410 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2026, Feb 12, 2016 (2 updates tracked since 2016).

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About Michelle Sullivan Bruzatori Pa-c NPPES

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

MICHELLE SULLIVAN BRUZATORI PA-C (NPI 1306205885) is an individual physician assistant in Little Rock, Arkansas, licensed in Arkansas (PA-645) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1306205885

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE SULLIVAN BRUZATORICredential: PA-C

Location Address9500 KANIS RD STE 501Little Rock, AR 72205-6389

Mailing Address11001 Executive Center Dr Ste 200Little Rock, AR 72211-4393 · (501) 227-9080 · Fax (501) 227-0410

Phone(501) 227-9080

Fax(501) 227-0410

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 12, 2016

Last NPPES UpdateApril 8, 20262 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1306205885 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 AR · PA-645

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.

9500 KANIS RD STE 501, Little Rock, AR 72205

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Other Names 1

Former Name (1)Michelle Regan Sullivan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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

Michelle Sullivan Bruzatori Pa-c 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 ID941509764

PECOS Enrollment IDI20160429000506

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 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 11

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

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