MICHELLE R CROYLE PA-C
NPI 1386255446
Physician Assistant - Medical in Park City, UT

Q: What is Michelle Croyle's NPI number?

The NPI number for Michelle Croyle is 1386255446. It was assigned to this individual provider in the NPPES registry on August 12, 2020.

Q: What is Michelle Croyle's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Croyle was last updated on October 11, 2022. 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.

Active since August 12, 2020PECOS Enrolled

1784 UINTA WAY UNIT E2, PARK CITY, UT 84098(435) 604-0160(435) 731-8328 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Mar 13, 2021, Feb 5, 2021 and 1 more (4 updates tracked since 2020).

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About Michelle R Croyle Pa-c NPPES

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

MICHELLE R CROYLE PA-C (NPI 1386255446) is an individual medical provider in Park City, Utah, licensed in Utah (13007674-1206) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386255446

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMICHELLE R CROYLECredential: PA-C

Location Address1784 UINTA WAY UNIT E2Park City, UT 84098-7685

Mailing Address1784 Uinta Way Unit E2Park City, UT 84098-7685 · (435) 604-0160 · Fax (435) 731-8328

Phone(435) 604-0160

Fax(435) 731-8328

Sole ProprietorNo

Enumeration DateAugust 12, 2020

Last NPPES UpdateOctober 11, 20224 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1386255446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in UT · 13007674-1206

Also ListedRegistered NurseTaxonomy 163W00000X · License 95160449 (CA)

Also ListedPhysician AssistantTaxonomy 363A00000X

1784 UINTA WAY UNIT E2, Park City, UT 84098

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.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)

Michelle R Croyle 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$18.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JUPITER MEDICAL I LLC

Internal Medicine