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MICHELLE DAWICZYK PA-C
NPI 1942550058
Physician Assistant - Medical in Storrs, CT

Active since September 17, 2012PECOS Enrolled
34 PROFFESSIONAL PARK RD, STORRS, CT 06268(860) 487-0002(860) 429-1663 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Dawiczyk Pa-c NPPES

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

MICHELLE DAWICZYK PA-C (NPI 1942550058) is an individual medical provider in Storrs, Connecticut, licensed in Connecticut (2808) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942550058
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMICHELLE DAWICZYKCredential: PA-C
Location Address34 PROFFESSIONAL PARK RDStorrs, CT 06268-1659
Mailing Address34 Proffessional Park RdStorrs, CT 06268-1659 · (860) 487-0002 · Fax (860) 429-1663
Phone(860) 487-0002
Fax(860) 429-1663
Sole ProprietorNo
Enumeration DateSeptember 17, 2012
✔ NPI 1942550058 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
License✔ Licensed in CT · 2808
34 PROFFESSIONAL PARK RD, Storrs, CT 06268
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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 Dawiczyk 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.

Other Providers at the Same Location NPPES 4

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

MICHELE COOPER RPA-C
Physician Assistant (Medical)
34 PROFFESSIONAL PARK RD
STORRS MANSFIELD, CT 06268
Capitol Planning Region (860) 487-0002
MRS. JEAN ELAINE WALIKONIS APRN
Nurse Practitioner (Family)
34 PROFFESSIONAL PARK RD
STORRS, CT 06268
Capitol Planning Region (860) 487-0002
SANDRA M HUGHES MD
Family Medicine
34 PROFFESSIONAL PARK RD
STORRS, CT 06268
Capitol Planning Region (860) 487-0002
TATYANA DIVINO DO
Family Medicine
34 PROFFESSIONAL PARK RD
STORRS, CT 06268
Capitol Planning Region (860) 487-0002

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 Dawiczyk's NPI number?

The NPI number for Michelle Dawiczyk is 1942550058. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Michelle Dawiczyk located?

Michelle Dawiczyk practices at 34 Proffessional Park Rd, Storrs, CT 06268. The listed phone number is (860) 487-0002.

What is Michelle Dawiczyk's specialty?

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

Is Michelle Dawiczyk enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michelle Dawiczyk was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.