MICHELLE VANDE STOUWE - NPI 1790561777 - Physician Assistant in Novato, CA

Q: What is Michelle Vande Stouwe's NPI number?

The NPI number for Michelle Vande Stouwe is 1790561777. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Q: What is Michelle Vande Stouwe's specialty?

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

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About Michelle Vande Stouwe NPPES

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

MICHELLE VANDE STOUWE (NPI 1790561777) is an individual physician assistant in Novato, California, licensed in California (PA65762) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790561777

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE VANDE STOUWE

Location Address165 ROWLAND WAY STE 208Novato, CA 94945-5055

Mailing Address165 Rowland Way Ste 208Novato, CA 94945-5055 · (415) 697-8659

Phone(415) 697-8659

Fax(415) 817-9339

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 5, 2023

Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1790561777 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 CA · PA65762

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.

165 ROWLAND WAY STE 208, Novato, CA 94945

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Vande Stouwe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234653601

PECOS Enrollment IDI20250407002580

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 94945 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

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$85.00 typical visit price

range $23.44 – $166.64

Typical copayment $21.25 (range $5.86 – $41.66)

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.

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.

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