MICHELLE LYNN ROSS (PA-C) – Medical Physician Assistant, NPI 1114198702

MICHELLE LYNN ROSS (PA-C) is a healthcare provider. based in Hopkinsville, Kentucky. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 1584 (TN). The NPI Number for MICHELLE LYNN ROSS (PA-C) is 1114198702

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE LYNN ROSS (PA-C)
NPI
1114198702
Phone
(270) 886-5141
Address
219 W 17TH ST
Enumeration Date
21 March 2008
Last Update Date
22 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708865141
Graduation Year
1998 (28 years ago)
PAC ID
9830257419
Group Practice PAC ID
7012187925
Professional Enrollment ID
I20180109003030
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:18State licenses:3Digital endpointsOther names

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Provider Addresses for MICHELLE LYNN ROSS (PA-C)

  • 219, West 17th Street, Hopkinsville, Christian County, Kentucky, 42240, United States

    HOPKINSVILLE, KY 422401911

    Phone: (270) 886-5141

    Type: Location

  • 219 W 17th St

    Hopkinsville, KY 422401911

    Phone: (270) 886-5141

    Type: Location

  • 707 E Wood St

    Paris, TN 382424278

    Phone: (731) 644-0144

    Type: Location

  • 1717 High St Ste 2A

    Hopkinsville, KY 422406300

    Phone: (270) 886-5141

    Type: Location

  • 1724 KENTON ST STE 1C

    HOPKINSVILLE, KY 422401981

    Phone: (270) 886-5141

    Fax: (270) 885-1877

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $385.

Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Astellas Pharma US Inc ($187).

Total Amount

$385

General + Research + Ownership

Payments

13

Total payment records

General Amount

$385

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2008-10-27

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
I20081027000275IPhysician AssistantTNTBD

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 minutes7265$0
View full utilization report →

Insurance plans in this area (ZIP 42240)

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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: 7012187925View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHELLE LYNN ROSS (PA-C)?
MICHELLE LYNN ROSS (PA-C) — NPI 1114198702 — is the standard way to identify this listing.
Can I rely on MICHELLE LYNN ROSS (PA-C) being an active provider?
As of the registry snapshot, MICHELLE LYNN ROSS (PA-C) is marked active.
What is MICHELLE LYNN ROSS (PA-C) best known for clinically?
Directory data describes MICHELLE LYNN ROSS (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MICHELLE LYNN ROSS (PA-C) list a practice location?
Patients near Hopkinsville, Kentucky may find MICHELLE LYNN ROSS (PA-C) in results; validate coverage separately.
Why does MICHELLE LYNN ROSS (PA-C) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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