MICHELLE M GAVIN (PA) – Physician Assistant, NPI 1720469604

MICHELLE M GAVIN (PA) is a healthcare provider. based in Cleveland, Ohio. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 50-004259 (OH). The NPI Number for MICHELLE M GAVIN (PA) is 1720469604

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE M GAVIN (PA)
NPI
1720469604
Phone
(440) 879-0081
Address
PO BOX 932751
Enumeration Date
16 June 2015
Last Update Date
16 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4405856500
Graduation Year
2014 (12 years ago)
PAC ID
2668785932
Group Practice PAC ID
6608978572
Professional Enrollment ID
I20150715001002
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for MICHELLE M GAVIN (PA)

  • PO BOX 932751

    CLEVELAND, OH 441930015

    Phone: (440) 879-0081

    Fax: (440) 879-0084

    Type: Mailing

  • 29000 CENTER RIDGE RD

    WESTLAKE, OH 441455219

    Phone: (440) 827-5015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: ABBVIE INC. ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$124
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: 2015-07-15

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
I20150715001002IPhysician 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.

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

Insurance plans in this area (ZIP 44193)

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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: 6608978572View full group profile
NameSpecialtyState
Nurse PractitionerOH
-OH
Nurse PractitionerOH
-OH
Physician AssistantOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is MICHELLE M GAVIN (PA) listed with a National Provider Identifier?
Yes — MICHELLE M GAVIN (PA) has NPI 1720469604 on file in the registry.
Would MICHELLE M GAVIN (PA) appear as active to a payer?
You can treat MICHELLE M GAVIN (PA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MICHELLE M GAVIN (PA)?
At a glance, MICHELLE M GAVIN (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE M GAVIN (PA)?
Directory geography for MICHELLE M GAVIN (PA) centers on Cleveland, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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