EMMANUEL PIERROT BASSIL
NPI 1467198630
Student in an Organized Health Care Education/Training Program in Jackson, MI

Active since May 10, 2022PECOS Enrolled
205 N. EAST AVENUE, JACKSON, MI 49201(517) 205-7147 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2025, Aug 11, 2022, May 10, 2022 (3 updates tracked since 2022).

About Emmanuel Pierrot Bassil NPPES

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

EMMANUEL PIERROT BASSIL (NPI 1467198630) is an individual student in an organized health care education/training program in Jackson, Michigan, licensed in Virginia (0116040561) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1467198630
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEMMANUEL PIERROT BASSIL
Location Address205 N. EAST AVENUEJackson, MI 49201
Mailing Address1215 Lee St Box 800133Charlottesville, VA 22908-0816 · (434) 924-1984 · Fax (434) 244-4502
Sole ProprietorNo
Enumeration DateMay 10, 2022
Last NPPES UpdateJune 14, 20253 updates tracked since enumeration
NPPES CertifiedJune 14, 2025
NPI 1467198630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in VA · 0116040561
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
205 N. EAST AVENUE, Jackson, MI 49201

Secondary Practice Location 1

Location 11215 Lee St Box 80013Charlottesville, VA 22908-0001 · Phone (434) 924-1984 · Fax (434) 244-4502

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Emmanuel Pierrot Bassil 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.

Other Providers at the Same Location NPPES 5

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

Student in an Organized Health Care Education/Training Program
205 N. EAST AVENUE
JACKSON,, MI 49201
Anesthesiology
205 N. EAST AVENUE, 2ND FL CAB
JACKSON, MI 49201
Physician Assistant
205 N. EAST AVENUE, EMERGENCY DEPARTMENT
JACKSON, MI 49201
Preventive Medicine (Public Health & General Preventive Medicine)
205 N. EAST AVENUE
JACKSON, MI 49201
Student in an Organized Health Care Education/Training Program
205 N. EAST AVENUE
JACKSON, MI 49201

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 Emmanuel Bassil's NPI number?

The NPI number for Emmanuel Bassil is 1467198630. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Where is Emmanuel Bassil located?

Emmanuel Bassil practices at 205 N. East Avenue, Jackson, MI 49201. The listed phone number is (517) 205-7147.

What is Emmanuel Bassil's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Emmanuel Bassil enrolled in Medicare?

Yes. Emmanuel Bassil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emmanuel Bassil was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.