MICHAEL EMILE GUILLETTE (PAC) – Physician Assistant, NPI 1174512115

MICHAEL EMILE GUILLETTE (PAC) is a healthcare provider. based in Durango, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 889 (CO). The NPI Number for MICHAEL EMILE GUILLETTE (PAC) is 1174512115

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL EMILE GUILLETTE (PAC)
NPI
1174512115
Phone
(970) 247-8382
Address
2577 MAIN AVE
Enumeration Date
20 October 2005
Last Update Date
18 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5053266000
Graduation Year
1996 (30 years ago)
PAC ID
8820004989
Group Practice PAC ID
7810189016
Professional Enrollment ID
I20130725000217
Address ID
NM874027624FA2930XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,166 PHYSICIAN ASSISTANT in CO

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Provider Addresses for MICHAEL EMILE GUILLETTE (PAC)

  • Durango Urgent Care, 2577, Main Avenue, Durango, La Plata County, Colorado, 81301, United States

    DURANGO, CO 813015919

    Phone: (970) 247-8382

    Fax: (970) 259-4403

    Type: Mailing

  • 604 S Rio Grande Ave

    Aztec, NM 874102260

    Phone: (505) 334-2664

    Fax: (505) 334-7759

    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: 2013-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060227000404IPhysician AssistantCOTBD
I20130725000217IPhysician AssistantNMTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes198183$0
99214Established patient office or other outpatient visit, 30-39 minutes10092$0
99203New patient office or other outpatient visit, 30-44 minutes9999$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected7875$0
81003Automated urinalysis test6457$0
View full utilization report →

Insurance plans in this area (ZIP 81301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810189016View full group profile
NameSpecialtyState
Physician AssistantNM
Physician AssistantME
Nurse PractitionerAZ
Nurse PractitionerNM
Nurse PractitionerIL
Physician AssistantAZ
Nurse PractitionerNM

Reviews

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Frequently asked questions

Does MICHAEL EMILE GUILLETTE (PAC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL EMILE GUILLETTE (PAC) uses 1174512115.
Is MICHAEL EMILE GUILLETTE (PAC) still practicing?
MICHAEL EMILE GUILLETTE (PAC) is currently listed as active in the public NPI registry.
What is MICHAEL EMILE GUILLETTE (PAC)'s specialty?
The listing groups MICHAEL EMILE GUILLETTE (PAC) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MICHAEL EMILE GUILLETTE (PAC) based?
MICHAEL EMILE GUILLETTE (PAC) is tied to Durango, Colorado in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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