MICHELLE O'DELL
NPI 1699278218
Student in an Organized Health Care Education/Training Program in Concord, CA

Active since March 09, 2018PECOS Enrolled
1775 PIEDMONT DR, CONCORD, CA 94519(707) 784-3097(707) 428-6542 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2019, Mar 9, 2018 (2 updates tracked since 2018).

About Michelle O'dell NPPES

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

MICHELLE O'DELL (NPI 1699278218) is an individual student in an organized health care education/training program in Concord, California and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699278218
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMICHELLE O'DELL
Location Address1775 PIEDMONT DRConcord, CA 94519-1235
Mailing AddressPo Box 5157Modesto, CA 95352-5157 · (209) 572-2589 · Fax (209) 572-1461
Fax(707) 428-6542
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 9, 2018
Last NPPES UpdateMay 15, 20192 updates tracked since enumeration
✔ NPI 1699278218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedBehavior TechnicianTaxonomy 106S00000X · License 17-45631 (CA)
1775 PIEDMONT DR, Concord, CA 94519

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle O'dell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608366133
PECOS Enrollment IDI20251104002535
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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle O'dell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 O'dell's NPI number?

The NPI number for Michelle O'dell is 1699278218. It was assigned to this individual provider in the NPPES registry on March 9, 2018.

Where is Michelle O'dell located?

Michelle O'dell practices at 1775 Piedmont Dr, Concord, CA 94519. The listed phone number is (707) 784-3097.

What is Michelle O'dell's specialty?

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

Is Michelle O'dell enrolled in Medicare?

Yes. Michelle O'dell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle O'dell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle O'dell reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle O'dell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle O'dell was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.