MICHELLE M MCCONNELL (PA) – Medical Physician Assistant, NPI 1073619821

MICHELLE M MCCONNELL (PA) is a healthcare provider. based in Wooster, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2491 (OH). The NPI Number for MICHELLE M MCCONNELL (PA) is 1073619821

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE M MCCONNELL (PA)
NPI
1073619821
Phone
(330) 202-5700
Address
1761 BEALL AVE
Enumeration Date
16 September 2006
Last Update Date
15 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
9739188863
Group Practice PAC ID
9032297627
Professional Enrollment ID
I20061218000493
Address ID
OH446912342WO1761XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for MICHELLE M MCCONNELL (PA)

  • Wooster Community Hospital, 1761, Beall Avenue, Wooster, Wayne County, Ohio, 44691, United States

    SUITE 3A

    WOOSTER, OH 446912342

    Phone: (330) 202-5700

    Fax: (330) 202-5701

    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 38 Open Payments records for all available years, with a total value of $1,192.

Total Amount is formed as General ($1,192) + Research ($0) + Ownership ($0) = $1,192.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($280).

Total Amount

$1,192

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

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: 2006-12-18

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
I20061218000493IPhysician AssistantOHTBD

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 minutes361335$0
99214Established patient office or other outpatient visit, 30-39 minutes339276$0
99212Established patient office or other outpatient visit, 10-19 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 44691)

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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: 9032297627View full group profile
NameSpecialtyState
General SurgeryOH
Internal MedicineOH
Orthopedic SurgeryOH
Cardiovascular Disease (Cardiology)OH
O B S T E T R I C S/ G Y N E C O L O G YOH
Physician AssistantOH
Pulmonary Disease, Critical Care (Intensivists)OH
Physician AssistantOH
Nurse PractitionerOH
General SurgeryOH

Reviews

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Frequently asked questions

Can I cross-check MICHELLE M MCCONNELL (PA) using NPI 1073619821?
NPI 1073619821 belongs to MICHELLE M MCCONNELL (PA); compare other details if you need extra assurance.
Is MICHELLE M MCCONNELL (PA) still an active registrant?
MICHELLE M MCCONNELL (PA) carries an active NPI according to the public dataset.
What kind of doctor is MICHELLE M MCCONNELL (PA)?
MICHELLE M MCCONNELL (PA) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE M MCCONNELL (PA)?
Directory geography for MICHELLE M MCCONNELL (PA) centers on Wooster, Ohio.
Can I trust this NPI listing for MICHELLE M MCCONNELL (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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