MICHELLE MARIE MACDONALD (PA-C) – Physician Assistant, NPI 1194819003
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MICHELLE MARIE MACDONALD (PA-C)
3074 N US 31 S
Traverse City, MI 496844533
Phone: (231) 935-0913
Fax: (231) 935-0984
Type: Location
93 W 4TH ST STE B
SUTTONS BAY, MI 496828408
Phone: (231) 866-4440
Type: Location
Crystal Lake Health Center Benzonia Clinic, 6227, Frankfort Highway, Benzonia, Crystal Lake Township, Benzie County, Michigan, 49616, United States
BENZONIA, MI 496168632
Phone: (231) 882-9661
Fax: (231) 882-1049
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 110 Open Payments records for all available years, with a total value of $2,632.
Total Amount is formed as General ($2,632) + Research ($0) + Ownership ($0) = $2,632.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($481).
Total Amount
$2,632
General + Research + Ownership
Payments
110
Total payment records
General Amount
$2,632
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $481 |
| AstraZeneca Pharmaceuticals LP | $402 |
| ABBVIE INC. | $273 |
| Novo Nordisk Inc | $272 |
| Bard Peripheral Vascular, Inc. | $141 |
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: 2004-11-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041111001011 | I | Physician Assistant | MI | 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 49684)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 90670 | Pneumococcal vaccine for injection into muscle | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI |
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