1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Physician Assistant
  6. NPI Profile

MRS. MICHELLE MARGARET EDERER B.A.,M.A., P.A.-C
NPI 1326020033
Physician Assistant - Medical in Syracuse, NY

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
3504 W GENESEE ST, SYRACUSE, NY 13219(315) 350-3305 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Oct 18, 2017 (2 updates tracked since 2017).

About Mrs. Michelle Margaret Ederer B.a.,m.a., P.a.-c NPPES

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

MRS. MICHELLE MARGARET EDERER B.A.,M.A., P.A.-C (NPI 1326020033) is an individual medical provider in Syracuse, New York, licensed in New York (006151) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pulaski, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1326020033
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MICHELLE MARGARET EDERERCredential: B.A.,M.A., P.A.-C
Location Address3504 W GENESEE STSyracuse, NY 13219-2008
Mailing Address121 Jordan StSkaneateles, NY 13152-1113 · (315) 391-1281
Phone(315) 350-3305
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 17, 2005
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1326020033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 006151
3504 W GENESEE ST, Syracuse, NY 13219
Open in Google Maps ↗

Secondary Practice Location 1

Location 14882B North Jefferson StPulaski, NY 13142-4713 · Phone (315) 298-2768

Other Identifiers 1

Medicaid02208226NY

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

Mrs. Michelle Margaret Ederer B.a.,m.a., P.a.-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 ID8123064425
PECOS Enrollment IDI20050708000554
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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Other Providers at the Same Location NPPES

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

NY URGENT CARE PRACTICE, PC
Clinic/Center (Urgent Care)
3504 W GENESEE ST, STE 1B
SYRACUSE, NY 13219
Onondaga County (315) 401-0754

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 Michelle Ederer's NPI number?

The NPI number for Michelle Ederer is 1326020033. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Michelle Ederer located?

Michelle Ederer practices at 3504 W Genesee St, Syracuse, NY 13219. The listed phone number is (315) 350-3305.

What is Michelle Ederer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michelle Ederer enrolled in Medicare?

Yes. Michelle Ederer 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.

When was this NPI record last updated?

The NPPES record for Michelle Ederer was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.