MR. MICHAEL FLYNN PA
NPI 1396721957
Physician Assistant - Medical in Staten Island, NY
About Mr. Michael Flynn Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL FLYNN PA (NPI 1396721957) is an individual medical provider in Staten Island, New York, licensed in New York (003708) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Michael Flynn Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
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 Michael Flynn's NPI number?
The NPI number for Michael Flynn is 1396721957. It was assigned to this individual provider in the NPPES registry on December 15, 2005.
Where is Michael Flynn located?
Michael Flynn practices at 475 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 226-9158.
What is Michael Flynn's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Michael Flynn enrolled in Medicare?
Yes. Michael Flynn is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michael Flynn was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mr. Michael Flynn, PA · NPI 1396721957
Medical physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since December 15, 2005.
## Identity
- **NPI:** 1396721957 (Entity type: Individual)
- **Enumerated:** December 15, 2005
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 003708 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 475 SEAVIEW AVE, Staten Island, NY 10305-3436
- **Phone:** (718) 226-9158
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 17, 2011
- **Other identifiers:** Medicare UPIN S82836 (NY); Medicaid 01977453 (NY); Medicare PIN A400031799 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1396721957) · Data from the CMS NPPES public registry.