KERRI LYNN MICHELLA P.A. NPI 1639481070

Physician Assistant (Surgical) in Middletown, NY

NPI 1639481070 Individual Female Years of Experience 12 Physician Assistant Surgical PECOS Enrolled Accepts Medicare Approved Payment

About KERRI MICHELLA

Kerri Michella is a provider established in Middletown, New York and her medical specialization is physician assistant (surgical) with more than 12 years of experience. The NPI number of Kerri Michella is 1639481070 and was assigned on July 2010. The practitioner's primary taxonomy code is 363AS0400X with license number 014031 (NY). The provider is registered as an individual and her NPI record was last updated 11 years ago.

Kerri Michella is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kerri Michella is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Valley Hospital and Hackensack University Medical Center.

NPI

1639481070

Provider Name KERRI LYNN MICHELLA P.A.
Provider Location Address95 CRYSTAL RUN RD MIDDLETOWN, NY 10941
Provider Mailing Address95 CRYSTAL RUN RD MIDDLETOWN, NY 10941
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2010
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-13-2010
Last Update Date02-08-2011


Primary Taxonomy

Taxonomy Code363AS0400X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationSurgical
License No.014031
License StateNY

Business Address

KERRI LYNN MICHELLA P.A.
95 CRYSTAL RUN RD
MIDDLETOWN, NY
ZIP 10941
Phone: (845) 703-6999
Fax: (845) 703-6297

Get Directions


Mailing Address

KERRI LYNN MICHELLA P.A.
95 CRYSTAL RUN RD
MIDDLETOWN, NY
ZIP 10941
Phone: (845) 703-6999
Fax: (845) 703-6297



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1052503703
PECOS Enrollment IDI20180911003639
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 11Repair of knee joint (HCPCS:27447)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kerri Michella is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
VALLEY HOSPITAL223 N VAN DIEN AVENUE
RIDGEWOOD, NJ 7450
(201) 447-8000Acute Care Hospitals310012
HACKENSACK UNIVERSITY MEDICAL CENTER30 PROSPECT AVE
HACKENSACK, NJ 7601
(551) 996-2000Acute Care Hospitals310001

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant014031NYNo

Taxonomy Description: 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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
A400032456MEDICARE PIN (08)NY
03280100MEDICAID (05)NY

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710979299 RANDOLPH COHEN MD
Individual
Obstetrics & Gynecology95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1689668071 ROBIN KARPFEN MD
Individual
Obstetrics & Gynecology95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1811986649 CALVIN DYMOND RPA-C
Individual
Physician Assistant (Surgical)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1487602017 HANNA KIM M.D.
Individual
Dermatology95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1467406157 KIM SHARON HARDWICK RPA-C
Individual
Physician Assistant (Surgical)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1396799664MR. DANIEL JAMES MCCABE DMA, MA, CCC-SLP
Individual
Speech-Language Pathologist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1689694127 MYRIAM BABCOCK P.T.
Individual
Physical Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1336338045 SUSANNA PRIMAKOFF RPA-C
Individual
Physician Assistant (Surgical)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1457516411 TAHIR ABDULLAH KHAN M.D.
Individual
Internal Medicine (Rheumatology)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1275789141 ELENA KATZAP D.O
Individual
Internal Medicine (Rheumatology)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1467605758MR. DAVID JOHN MOHR M.S., P.T.
Individual
Physical Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1679727127DR. RULA CHRISTINE GEHA MD
Individual
Surgery95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1295044022 THOMAS JAMES CINQUE D.P.T.
Individual
Physical Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1689723314 HOWARD MICHAEL ESKANAZY D.O.
Individual
Family Medicine95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1093966061DR. DANIIL POLISHCHUK MD
Individual
Orthopaedic Surgery95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1538346663 DEBORAH ANN GLEBOCKI O.T.
Individual
Occupational Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1003018722 RICHARD ESCANO P.T.
Individual
Physical Therapist95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1780888354 PARANTAP GUPTA MD
Individual
Internal Medicine (Gastroenterology)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1063494821 DEBORAH SHERMAN N.P.
Individual
Nurse Practitioner (Women's Health)95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999
1669461851 JANICE KRYSTAL ASCENCIO M.D.
Individual
Obstetrics & Gynecology95 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
(845) 703-6999

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.