MICHELLE L HARNESS (PA-C) – Physician Assistant, NPI 1730514688

MICHELLE L HARNESS (PA-C) is a healthcare provider. based in Kalamazoo, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601006738 (MI). The NPI Number for MICHELLE L HARNESS (PA-C) is 1730514688

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE L HARNESS (PA-C)
NPI
1730514688
Phone
Not provided
Address
5943 STADIUM DR
Enumeration Date
11 September 2013
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
5294962007
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20131223001494
Address ID
MI495463808GR5060XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for MICHELLE L HARNESS (PA-C)

  • 5943 STADIUM DR

    STE 1

    KALAMAZOO, MI 490093016

    Phone:

    Type: Mailing

  • 345 NAOMI ST

    PLAINWELL, MI 490801257

    Phone: (269) 552-0100

    Type: Location

  • 4700 32ND AVE

    HUDSONVILLE, MI 494268001

    Phone: (616) 662-2011

    Type: Mailing

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: 2013-12-23

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
I20131223001494IPhysician AssistantMITBD

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 49009)

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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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the registry number for MICHELLE L HARNESS (PA-C)?
The registry entry for MICHELLE L HARNESS (PA-C) shows NPI 1730514688.
Is MICHELLE L HARNESS (PA-C)'s NPI status active today?
Active status means MICHELLE L HARNESS (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret MICHELLE L HARNESS (PA-C)'s specialty?
The extract shows Physician Assistant for MICHELLE L HARNESS (PA-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHELLE L HARNESS (PA-C)?
MICHELLE L HARNESS (PA-C) is associated with Kalamazoo, Michigan in the same public data insurers reference.
Who maintains MICHELLE L HARNESS (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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