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MICHELLE L FUSSNECKER PA-C
NPI 1871047753
Physician Assistant - Medical in Broomfield, CO

Active since August 09, 2016PECOS Enrolled
83.35/100
CMS Quality Rating
6450 W 120TH AVE UNIT A, BROOMFIELD, CO 80020(720) 274-9200 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2018, Aug 9, 2016 (2 updates tracked since 2016).

About Michelle L Fussnecker Pa-c NPPES

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

MICHELLE L FUSSNECKER PA-C (NPI 1871047753) is an individual medical provider in Broomfield, Colorado, licensed in Colorado (PA.0004945) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1871047753
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE L FUSSNECKERCredential: PA-C
Location Address6450 W 120TH AVE UNIT ABroomfield, CO 80020
Mailing Address1621 S Wolcott CtDenver, CO 80219-4334 · (720) 530-6404
Phone(720) 274-9200
Sole ProprietorNo
Enumeration DateAugust 9, 2016
Last NPPES UpdateJune 21, 20182 updates tracked since enumeration
✔ NPI 1871047753 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
Licenses✔ Licensed in CO · PA.0004945✔ Licensed in NM · PA2016-0060
6450 W 120TH AVE UNIT A, Broomfield, CO 80020
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Secondary Practice Location 1

Location 14304 Carlisle Blvd NEAlbuquerque, NM 87107-4811 · Phone (505) 888-1075 · Fax (505) 888-1082

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 L Fussnecker 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.

Areas of Expertise CMS Part B claims 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services49 patients
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.
20 services19 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.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.43
Improvement Activities40
Cost40.47

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers33 claims33 services$15.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers33 claims33 services$68.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

HEALTHONE CLINIC SERVICES-SURGICAL SPECIALTIES LLC
Surgery
6450 W 120TH AVE UNIT A
BROOMFIELD, CO 80020
Broomfield County (303) 788-9293
HEALTHONE CLINIC SERVICES - OBSTETRICS AND GYNECOLOGY LLC
Obstetrics & Gynecology (Gynecology)
6450 W 120TH AVE UNIT A
BROOMFIELD, CO 80020
Broomfield County (303) 388-4631

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 Fussnecker's NPI number?

The NPI number for Michelle Fussnecker is 1871047753. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Michelle Fussnecker located?

Michelle Fussnecker practices at 6450 W 120th Ave Unit A, Broomfield, CO 80020. The listed phone number is (720) 274-9200.

What is Michelle Fussnecker's specialty?

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

Is Michelle Fussnecker enrolled in Medicare?

Yes. Michelle Fussnecker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Fussnecker was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.