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S MICHELLE THORNBLADE PA C
NPI 1629079454
Physician Assistant in Waldorf, MD

Active since August 02, 2005PECOS Enrolled
3975 SAINT CHARLES PKWY, WALDORF, MD 20602(301) 645-6800(301) 645-8696 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About S Michelle Thornblade Pa C NPPES

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

S MICHELLE THORNBLADE PA C (NPI 1629079454) is an individual physician assistant in Waldorf, Maryland, licensed in Maryland (C0002969) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629079454
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameS MICHELLE THORNBLADECredential: PA C
Location Address3975 SAINT CHARLES PKWYWaldorf, MD 20602-2683
Mailing Address330 N Howard StBaltimore, MD 21201-3610 · (410) 576-1400 · Fax (410) 576-7600
Phone(301) 645-6800
Fax(301) 645-8696
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629079454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0002969
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3975 SAINT CHARLES PKWY, Waldorf, MD 20602
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Other Names 1

Former Name (1)S Michelle Westphal

Other Identifiers 4

OtherPA02088TX · Pa License (inactive Stat
Medicare ID-Type Unspecified8A3266
Medicare UPINS62459
Other1421CO · License (expired)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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)

S Michelle Thornblade 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 S Thornblade's NPI number?

The NPI number for S Thornblade is 1629079454. It was assigned to this individual provider in the NPPES registry on August 2, 2005. The provider is also known as S Michelle Westphal.

Where is S Thornblade located?

S Thornblade practices at 3975 Saint Charles Pkwy, Waldorf, MD 20602. The listed phone number is (301) 645-6800.

What is S Thornblade's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is S Thornblade enrolled in Medicare?

Yes. S Thornblade is registered in the Medicare PECOS enrollment system.

What insurance does S Thornblade accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list S Thornblade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for S Thornblade was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.