MICHELLE CORINA CORDOVA PA
NPI 1467596676
Physician Assistant - Medical in San Luis Obispo, CA

Active since February 19, 2007PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401(805) 434-5530(805) 434-0023 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Jun 5, 2024, Nov 2, 2023 and 4 more (7 updates tracked since 2019).

About Michelle Corina Cordova Pa NPPES

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

MICHELLE CORINA CORDOVA PA (NPI 1467596676) is an individual medical provider in San Luis Obispo, California, licensed in California (PA17221) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Utah School Of Medicine (2003).

NPPES Registry Identity

NPI1467596676
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE CORINA CORDOVACredential: PA
Location Address1551 BISHOP ST STE 230San Luis Obispo, CA 93401-4661
Mailing Address1551 Bishop St Ste 230San Luis Obispo, CA 93401-4661 · (805) 434-5530 · Fax (805) 434-0023
Fax(805) 434-0023
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2003
Enumeration DateFebruary 19, 2007
Last NPPES UpdateOctober 2, 20247 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1467596676 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 CA · PA17221
1551 BISHOP ST STE 230, San Luis Obispo, CA 93401

Secondary Practice Locations 2

Location 1850 Fair Oaks Ave Ste 220Arroyo Grande, CA 93420-3929 · Phone (805) 434-5530 · Fax (805) 786-4220
Location 2350 Posada Ln Ste 202Templeton, CA 93465-4060 · Phone (805) 434-5497 · Fax (805) 434-0917

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

Michelle Corina Cordova Pa 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 ID2668440520
PECOS Enrollment IDI20040920000539
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
253 services210 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
236 services197 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
177 services177 patients
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.
73 services73 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
17 services15 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
11 services11 patients

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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Gastroenterology)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Internal Medicine (Gastroenterology)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Clinic/Center (Community Health)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Physician Assistant
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Internal Medicine (Gastroenterology)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Internal Medicine (Gastroenterology)
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401
Nurse Practitioner
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 93401

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 Cordova's NPI number?

The NPI number for Michelle Cordova is 1467596676. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Michelle Cordova located?

Michelle Cordova practices at 1551 Bishop St Ste 230, San Luis Obispo, CA 93401. The listed phone number is (805) 434-5530.

What is Michelle Cordova's specialty?

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

Is Michelle Cordova enrolled in Medicare?

Yes. Michelle Cordova 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 Cordova was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.