DR. MICHELLE GRACE PUZDRAKIEWICZ M.D.
NPI 1376526392
Pediatrics in Dyersburg, TN

Q: What is Michelle Puzdrakiewicz's NPI number?

The NPI number for Michelle Puzdrakiewicz is 1376526392. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Q: What is Michelle Puzdrakiewicz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since November 23, 2005PECOS Enrolled

1700 WOODLAWN AVE, DYERSBURG, TN 38024(731) 287-4500(731) 287-4804 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 9, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Michelle Grace Puzdrakiewicz M.d. NPPES

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

DR. MICHELLE GRACE PUZDRAKIEWICZ M.D. (NPI 1376526392) is an individual pediatrics provider in Dyersburg, Tennessee, licensed in Louisiana (308800) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1376526392

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MICHELLE GRACE PUZDRAKIEWICZCredential: M.D.

Location Address1700 WOODLAWN AVEDyersburg, TN 38024-2028

Mailing Address1804 Highway 45 Byp Ste 604Jackson, TN 38305-4403 · (731) 660-7971 · Fax (731) 660-8739

Phone(731) 287-4500

Fax(731) 287-4804

Sole ProprietorNo

Enumeration DateNovember 23, 2005

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1376526392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in LA · 308800✔ Licensed in TN · 42447

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1700 WOODLAWN AVE, Dyersburg, TN 38024

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Secondary Practice Location 1

Location 1620 Skyline DrJackson, TN 38301-3923 · Phone (731) 541-3250 · Fax (731) 541-5187

Other Identifiers 1

Medicaid1510509TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michelle Grace Puzdrakiewicz M.d. 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 38024 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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Other Providers at the Same Location NPPES 20

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

LAURA M MULVANY SLP

Speech-Language Pathologist