MICHELLE MARIE SPONG (PA-C) – Medical Physician Assistant, NPI 1780657890

MICHELLE MARIE SPONG (PA-C) is a healthcare provider. based in Hershey, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA003417L (PA). The NPI Number for MICHELLE MARIE SPONG (PA-C) is 1780657890

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE MARIE SPONG (PA-C)
NPI
1780657890
Phone
(800) 243-1455
Address
PO BOX 858
Enumeration Date
9 February 2006
Last Update Date
5 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
7618066564
Group Practice PAC ID
3870405483
Professional Enrollment ID
I20071130000258
Address ID
PA170332360HE500XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for MICHELLE MARIE SPONG (PA-C)

  • PO BOX 858

    MC A410

    HERSHEY, PA 170330858

    Phone: (800) 243-1455

    Type: Mailing

  • Hershey Medical Center, 500, University Drive, Hershey, Dauphin County, Pennsylvania, 17033, United States of America

    HERSHEY, PA 170332360

    Phone: (800) 243-1455

    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 $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($77).

Total Amount

$77

General + Research + Ownership

Payments

1

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

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: 2007-11-30

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
I20071130000258IPhysician AssistantPATBD

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 minutes184104$0
View full utilization report →

Insurance plans in this area (ZIP 17033)

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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: 3870405483View full group profile
NameSpecialtyState
P A T H O L O G YPA
Vascular SurgeryMD
O P H T H A L M O L O G YPA
-PA
Nurse PractitionerPA
-FL
-PA
-PA
Emergency MedicinePA
Critical Care (Intensivists)PA

Reviews

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Frequently asked questions

Can I verify MICHELLE MARIE SPONG (PA-C) with an NPI only?
You can start verification with NPI 1780657890 for MICHELLE MARIE SPONG (PA-C), then check state licensing separately.
Is MICHELLE MARIE SPONG (PA-C) listed as active for patients and plans?
The listing shows MICHELLE MARIE SPONG (PA-C) as active in the NPI system.
What is MICHELLE MARIE SPONG (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for MICHELLE MARIE SPONG (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is MICHELLE MARIE SPONG (PA-C) based?
MICHELLE MARIE SPONG (PA-C) is tied to Hershey, Pennsylvania in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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