MICHELLE GOLDEN – Physician Assistant, NPI 1104339852

MICHELLE GOLDEN is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PHYSICIAN ASSISTANT. The NPI Number for MICHELLE GOLDEN is 1104339852

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE GOLDEN
NPI
1104339852
Phone
(570) 430-1225
Address
4418 SPRUCE ST APT D4
Enumeration Date
15 November 2017
Last Update Date
15 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3028383100
Graduation Year
2019 (7 years ago)
PAC ID
5991037731
Group Practice PAC ID
0042583460
Professional Enrollment ID
I20191029002130
Address ID
DE197011708BE1993XHWYX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

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Provider Addresses for MICHELLE GOLDEN

  • 4418 SPRUCE ST APT D4

    PHILADELPHIA, PA 191044736

    Phone: (570) 430-1225

    Type: Mailing

  • 600, South 43rd Street, Southwest Schuylkill, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    PHILADELPHIA, PA 191044418

    Phone: (215) 596-7142

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $1,088.

Total Amount is formed as General ($1,088) + Research ($0) + Ownership ($0) = $1,088.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($171).

Total Amount

$1,088

General + Research + Ownership

Payments

61

Total payment records

General Amount

$1,088

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

Top Companies

Largest payers in this snapshot

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: 2019-10-29

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
I20191029002130IPhysician AssistantDETBD

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 minutes14097$0
99214Established patient office or other outpatient visit, 30-39 minutes9469$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3535$0
View full utilization report →

Insurance plans in this area (ZIP 19104)

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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: 0042583460View full group profile
NameSpecialtyState
Physician AssistantDE
Nurse PractitionerDE
General Practice, Internal Medicine, Pediatric MedicineWA
Nurse PractitionerDE
Nurse PractitionerDE
Family PracticeMD

Reviews

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Frequently asked questions

What unique ID ties claims to MICHELLE GOLDEN?
NPI 1104339852 is assigned to MICHELLE GOLDEN under the national enumeration system.
Is MICHELLE GOLDEN currently active in the NPI registry?
CMS-published data lists MICHELLE GOLDEN as an active registrant.
What does MICHELLE GOLDEN treat or focus on?
Patients typically see MICHELLE GOLDEN under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MICHELLE GOLDEN practice in Pennsylvania?
You will see Philadelphia, Pennsylvania on file for MICHELLE GOLDEN alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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