MICHELLE DAWICZYK (PA-C) – Medical Physician Assistant, NPI 1942550058

MICHELLE DAWICZYK (PA-C) is a healthcare provider. based in Storrs, Connecticut. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 2808 (CT). The NPI Number for MICHELLE DAWICZYK (PA-C) is 1942550058

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE DAWICZYK (PA-C)
NPI
1942550058
Phone
(860) 487-0002
Address
34 PROFFESSIONAL PARK RD
Enumeration Date
17 September 2012
Last Update Date
17 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078731181
Graduation Year
2012 (14 years ago)
PAC ID
4082864533
Group Practice PAC ID
7113957168
Professional Enrollment ID
I20140807000947
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for MICHELLE DAWICZYK (PA-C)

  • 34 PROFFESSIONAL PARK RD

    STORRS, CT 062681659

    Phone: (860) 487-0002

    Fax: (860) 429-1663

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $291.

Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ABBVIE INC. ($172).

Total Amount

$291

General + Research + Ownership

Payments

6

Total payment records

General Amount

$291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20140807000947IPhysician AssistantMETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06268)

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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: 7113957168View full group profile
NameSpecialtyState
Family PracticeME
Family PracticeME
General Practice, Family PracticeCT

Reviews

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Frequently asked questions

Can I verify MICHELLE DAWICZYK (PA-C) with an NPI only?
You can start verification with NPI 1942550058 for MICHELLE DAWICZYK (PA-C), then check state licensing separately.
Does the file indicate MICHELLE DAWICZYK (PA-C) is practicing under active NPI?
Directory data currently reports MICHELLE DAWICZYK (PA-C) as active.
What taxonomy line describes MICHELLE DAWICZYK (PA-C)?
For research purposes, treat MICHELLE DAWICZYK (PA-C) as Medical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Does MICHELLE DAWICZYK (PA-C) list a practice location?
Patients near Storrs, Connecticut may find MICHELLE DAWICZYK (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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