MICHELLE JAWOR (PAC) – Physician Assistant, NPI 1104222389
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for MICHELLE JAWOR (PAC)
9700 N 91st St Ste A115
Scottsdale, AZ 852585036
Phone: (888) 803-3370
Type: Location
415 N Crescent Dr Ste 320
Beverly Hills, CA 902106813
Phone: (888) 803-3370
Type: Location
65 W 36th St Fl 11
New York, NY 100187936
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
2800 Eisenhower Ave Ste 220
Alexandria, VA 223144587
Phone: (888) 803-3370
Type: Location
21660 W Field Pkwy Deer Park
Deer Park, IL 60010
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
333 1ST ST STE A
SAN FRANCISCO, CA 941052661
Phone:
Type: Mailing
17495 LA GRANGE RD
TINLEY PARK, IL 604877581
Phone: (708) 226-7000
Fax: (708) 226-7174
Type: Mailing
156 William St Rm 303
New York, NY 100385307
Phone: (888) 803-3370
Fax: (888) 803-3331
Type: Location
790 N Milwaukee St Ste 313
Milwaukee, WI 532024148
Phone: (888) 803-3370
Type: Location
8500 Normandale Lake Blvd Ste 3510
Bloomington, MN 554373813
Phone: (888) 803-3370
Type: Location
7425 JANES AVE
WOODRIDGE, IL 605172356
Phone: (815) 300-7764
Type: Mailing
14315 108TH AVE STE 100
ORLAND PARK, IL 604675700
Phone: (815) 300-7764
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150318001492 | I | Physician Assistant | IL | TBD |
| I20240804000008 | I | Physician Assistant | CA | TBD |
| I20250811002922 | I | Physician Assistant | NY | TBD |
| I20251125001332 | I | Physician Assistant | DC | TBD |
| I20260108004062 | I | Physician Assistant | AZ | TBD |
| I20260225002629 | I | Physician Assistant | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Physician Assistant | CA | |
| Family Practice | CA | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | TX | |
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | NY | |
| Family Practice | CT |
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